Fertility preservation in a large broad ligament leiomyoma: a case report.

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL

Journal of Medical Case Reports Pub Date : 2025-07-04 DOI:10.1186/s13256-025-05384-y

Jouni Aljoudeh, Ali Deeb, Yahia Ranjous, Mari Alahmad, Sarah Al Haj Diab, Aimar Abo Moughdeb, Dema Adwan

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引用次数: 0

Abstract

Background: Uterine leiomyomas (uterine fibroids) are the most common tumors of the uterus. Extrauterine fibroids are rare, with the broad ligament being the most common location. Fibroids are usually asymptomatic. Some common symptoms include menstrual disturbances, a sensation of heaviness, and urinary issues.

Case presentation: A 27 year-old Syrian woman presented with lower abdominal pain that had persisted for a year. Her last delivery was 9 months prior. Ultrasound imaging revealed a 10 cm × 15 cm heterogeneous mass extending from the right iliac region to the umbilical region. The mass was surgically resected, with preservation of the uterus and adnexa. Histopathological examination confirmed the diagnosis as leiomyoma with hyaline degeneration.

Conclusion: Leiomyomas, typically located in the uterus, can also occur in extrauterine locations such as the broad ligament. The diagnosis and management of extrauterine fibroids are challenging owing to their rarity and rich vascularity of the surrounding tissue, especially in patients wishing to preserve fertility.

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大阔韧带平滑肌瘤保留生育能力1例。

背景：子宫平滑肌瘤（子宫肌瘤）是子宫最常见的肿瘤。子宫外肌瘤是罕见的，与宽韧带是最常见的位置。肌瘤通常是无症状的。一些常见的症状包括月经紊乱、感觉沉重和泌尿系统问题。病例介绍：一名27岁的叙利亚妇女表现为持续一年的下腹部疼痛。她最后一次分娩是在9个月前。超声成像显示一个10厘米× 15厘米的非均匀肿块，从右髂区延伸到脐区。手术切除肿块，保留子宫和附件。组织病理学检查证实为平滑肌瘤伴透明变性。结论：子宫平滑肌瘤多发生在子宫内，但也可发生在子宫外的阔韧带等部位。子宫外肌瘤的诊断和治疗是具有挑战性的，由于其罕见和丰富的周围组织血管，特别是在希望保持生育能力的患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Medical Case Reports Medicine-Medicine (all)

CiteScore

1.50

自引率

0.00%

发文量

436

期刊介绍： JMCR is an open access, peer-reviewed online journal that will consider any original case report that expands the field of general medical knowledge. Reports should show one of the following: 1. Unreported or unusual side effects or adverse interactions involving medications 2. Unexpected or unusual presentations of a disease 3. New associations or variations in disease processes 4. Presentations, diagnoses and/or management of new and emerging diseases 5. An unexpected association between diseases or symptoms 6. An unexpected event in the course of observing or treating a patient 7. Findings that shed new light on the possible pathogenesis of a disease or an adverse effect