BILATERAL GIANT BROAD LIGAMENT FIBROIDS: A DIAGNOSTIC AND SURGICAL DILEMMA!
Journal Title: Indian Obstetrics & Gynaecology - Year 2017, Vol 7, Issue 3
Abstract
Giant fibroids are known to arise from the uterus and occasionally from extrauterine sites. Extrauterine fibroids are not as common as uterine fibroids. Among the extrauterine fibroids, broad ligament fibroids are the most common to occur. Incidence of fibroid is 4% to 10% and that of broad ligament fibroid is less than 1%. Most common presentation of fibroid is menstrual disturbances and dysmenorrhoea. However, broad ligament fibroids generally presents with pressure symptoms like bladder and bowel dysfunction. Because of rarity they pose specific diagnostic difficulties causing an error in making the final diagnosis and therefore the management. These fibroids are well known for achieving enormous size, which may mimic a malignancy of the pelvis. Their surgical management includes nuances of anatomical awareness, traction and counter-traction techniques, and proper haemostasis. There are case reports of unilateral giant broad ligament fibroids but bilateral ones have not been reported in literature till now, so here we are presenting a case of giant and bilateral broad ligament fibroids.
Authors and Affiliations
Anupama Dave, Dr. Ranjana Patidar, Dr. Nisha Mandloi, Dr. Ruchi Joshi, Atisha Dave
Keywords
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