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Obstetrics & Gynecology 2007;109:563-565
© 2007 by The American College of Obstetricians and Gynecologists
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CASE REPORTS

Massive Leiomyoma of the Broad Ligament

Tyler Muffly, MD1, Indira Vadlamani, MD2 and John C. Weed, MD2

From the 1Department of Obstetrics and Gynecology, University of Missouri at Kansas City, and 2Department of Pathology, St. Joseph Hospital, Kansas City, Missouri.

BACKGROUND: A primary broad ligament leiomyoma weighing greater than 50 kg presented unique perioperative complications.

CASE: A postmenopausal nulligravida presented to the emergency department for a fractured patella with an incidental finding of a massive abdomen. The patient underwent laparotomy to remove a 51-kg broad ligament leiomyoma. Extensive vascularization from the tumor caused a caput medusae effect and significant bleeding from the anterior abdominal wall. The size of the mass required extensive preoperative planning.

CONCLUSION: When removing a pelvic mass, consider primary broad ligament leiomyoma for its unique vascular pathophysiology and size complications.






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