![]() ![]() Uterus atrophic, pushed towards left.The uterus and mass separately visualised.Right fallopian tube stretched. Firm in consistency, restricted mobility. Impression: A large well defined heterogenous predominantly T1/T2 hypointense lesion with a few cystic areas in the pelvis Differentials : Broad ligament fibroid solid right ovarian tumor fibroid uterus INTRAOPERATIVE FINDINGS Uterus corresponding to 20 to 24 weeks size. Both ovaries are not separately visualised. Another 5*6 cm solid hypoechoic mass seen in the vesicouterine pouch adherent to the wall of the cervix - ? cervical fibroid. This mass extends till the umbilical quadrant- f/s/o large right broad ligament fibroid. Usg abdomen and pelvis : a large 12*13 cm hypoechoic solid mass seen in the right adnexa. Relevant investigations sent and were within normal parameters. Multiple masses felt more on the right side extending upto the umbilicus. Bimanually uterus cannot be made separately. On examination, moderately built and nourished with mass corresponding to 20 weeks size on per abdomen. Also lower abdominal pain since 3 months with regular menstrual cycles. CASE STUDY: A 45 years old P1L1A1 with LMP - 18/11/21 came with complaints of urinary incontinence since 2 to 3 years. Uterine vessels and ureter lie lateral to fibroid True broad ligament fibroid - arises from muscle fibres normally found in the mesometrium. False broad ligament fibroid - originates from uterus but grows laterally between the two layers of the broad ligament with attachment to the uterus. INTRODUCTION: Broad ligament fibroid is a benign smooth muscle tumor (1%) which arises from the uterine smooth muscle or hormone sensitive broad ligament smooth muscle. Scientific Tracks Abstracts: International Jour of Collab Res on Inter Medi & Pub He Abstract : Kasturba Medical College Mangalore Manipal Academy of Higher Education, Manipal 13 th World Conference on Gynecology, Obstetrics and Women Health ![]()
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