Massive leiomyoma of the broad ligament.
BACKGROUND
A primary broad ligament leiomyoma weighing greater than 50 kg presented unique perioperative complications.


METHODS
A postmenopausal nulligravida presented to the emergency department for a fractured patella with an incidental finding of a massive abdomen. The patient underwent laparotomy to remove a 51-kg broad ligament leiomyoma. Extensive vascularization from the tumor caused a caput medusae effect and significant bleeding from the anterior abdominal wall. The size of the mass required extensive preoperative planning.


CONCLUSIONS
When removing a pelvic mass, consider primary broad ligament leiomyoma for its unique vascular pathophysiology and size complications.
Muffly
Tyler
T
Department of Obstetrics and Gynecology, University of Missouri at Kansas City, Missouri 64108, USA. tylermuffly@hotmail.com
Vadlamani
Indira
I
Weed
John C
JC
D001956:Broad Ligament / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D007889:Leiomyoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D010386:Pelvic Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D017698:Postmenopause