Broad ligament fibroid

Case contributed by Dr Shailaja Muniraju

Presentation

Chronic pelvic pain. Dysmenorrhoea.

Patient Data

Age: 40 years
Gender: Female
MRI

There is large voluminous T1 and T2 hypointense lesion noted to project into the pouch of Douglas. However the uterus and ovaries are well visualized separately.  These features indicate broad ligament fibroid. No features of torsion.

The uterus is appearing bulky and shows multiple anterior and posterior myometrial intramural fibroids. 

Also seen is anterior, posterior and fundal subserosal fibroids. One of the fundal subserosal fibroid is pedunculated.

Left ovarian endometriotic cyst noted.

Case Discussion

Broad ligament fibroid is a type of extrauterine fibroid and occurs in less than 1% of females.

The main role of imaging is to differentiate from a possible pedunculated subserosal fibroid or ovarian tumour. Assessment for complications, such as torsion, should also be performed. 

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Case information

rID: 49135
Case created: 11th Nov 2016
Last edited: 15th Dec 2016
System: Gynaecology
Inclusion in quiz mode: Included

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