Katke Rajshree Dayanand
Department of Obstetrics and Gynecology, CAMA and Albless Hospital, Grant Government Medical College and Sir J. J. Group of Hospitals, Mumbai, Maharashtra, India.
J Midlife Health. 2017 Oct-Dec;8(4):191-193. doi: 10.4103/jmh.JMH_16_17.
Fibroids are most common benign tumors of the uterus, mostly situated in the body of the uterus. Rarely, they arise from extrauterine sites with broad ligament fibroids being uncommon. We present a case of a 47-year-old female, multipara who presented in outpatient department in CAMA hospital with a history of sudden development of dysuria 10 days back. Intraoperatively, uterus was pushed to side and large broad ligament fibroid of 25 cm × 20 cm × 20 cm seen arising from right-sided broad ligament. The fibroid was densely adherent to bowel and bladder. Exploratory laparotomy with excision of broad ligament fibroid of 9 Kg with total abdominal hysterectomy with right salpingo-oophorectomy was done.
子宫肌瘤是子宫最常见的良性肿瘤，大多位于子宫体部。极少情况下，它们起源于子宫外部位，阔韧带肌瘤并不常见。我们报告一例47岁经产妇，10天前因突发排尿困难前来CAMA医院门诊就诊。术中，子宫被推向一侧，可见一个大小为25 cm×20 cm×20 cm的巨大阔韧带肌瘤从右侧阔韧带长出。该肌瘤与肠管和膀胱紧密粘连。遂行剖腹探查术，切除重达9千克的阔韧带肌瘤，并进行全腹子宫切除术及右侧输卵管卵巢切除术。
