Laparoscopic management of a true broad ligament leiomyoma in a patient with advanced endometriosis and a solitary kidney – A case report and literature review
Leiomyomas are the most common benign tumours of the female genital tract, and almost always arise from the uterine myometrium. Although extrauterine leiomyomas are rare, they usually develop in sites such as the ovary, broad ligament, round ligament, cervix or abdominal wall. The broad ligament is...
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Format: | Article |
Language: | English |
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Elsevier
2022-10-01
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Series: | Case Reports in Women's Health |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S221491122200056X |
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author | Vishal Bahall Lance De Barry |
author_facet | Vishal Bahall Lance De Barry |
author_sort | Vishal Bahall |
collection | DOAJ |
description | Leiomyomas are the most common benign tumours of the female genital tract, and almost always arise from the uterine myometrium. Although extrauterine leiomyomas are rare, they usually develop in sites such as the ovary, broad ligament, round ligament, cervix or abdominal wall. The broad ligament is the most common site of extrauterine leiomyoma involvement, and this unique clinical entity may prove to be a diagnostic or therapeutic challenge, particularly in patients with advanced endometriosis and distorted pelvic anatomy. Herein, we report the case of a large true broad ligament leiomyoma that was discovered during a total laparoscopic hysterectomy and bilateral salpingo-oophorectomy in a 47-year-old patient with stage IV endometriosis and a congenital left kidney and left ureter. This case highlights a rare occurrence of a true broad ligament leiomyoma, the challenges associated with preoperative diagnosis, and the laparoscopic approach to its management. |
first_indexed | 2024-04-12T01:04:52Z |
format | Article |
id | doaj.art-b8d8d4a9567d4e3785b97347adc62d73 |
institution | Directory Open Access Journal |
issn | 2214-9112 |
language | English |
last_indexed | 2024-04-12T01:04:52Z |
publishDate | 2022-10-01 |
publisher | Elsevier |
record_format | Article |
series | Case Reports in Women's Health |
spelling | doaj.art-b8d8d4a9567d4e3785b97347adc62d732022-12-22T03:54:20ZengElsevierCase Reports in Women's Health2214-91122022-10-0136e00436Laparoscopic management of a true broad ligament leiomyoma in a patient with advanced endometriosis and a solitary kidney – A case report and literature reviewVishal Bahall0Lance De Barry1Corresponding author.; Department of Obstetrics and Gynaecology, San Fernando, General Hospital, South-West Regional Health Authority, Trinidad and TobagoDepartment of Obstetrics and Gynaecology, San Fernando, General Hospital, South-West Regional Health Authority, Trinidad and TobagoLeiomyomas are the most common benign tumours of the female genital tract, and almost always arise from the uterine myometrium. Although extrauterine leiomyomas are rare, they usually develop in sites such as the ovary, broad ligament, round ligament, cervix or abdominal wall. The broad ligament is the most common site of extrauterine leiomyoma involvement, and this unique clinical entity may prove to be a diagnostic or therapeutic challenge, particularly in patients with advanced endometriosis and distorted pelvic anatomy. Herein, we report the case of a large true broad ligament leiomyoma that was discovered during a total laparoscopic hysterectomy and bilateral salpingo-oophorectomy in a 47-year-old patient with stage IV endometriosis and a congenital left kidney and left ureter. This case highlights a rare occurrence of a true broad ligament leiomyoma, the challenges associated with preoperative diagnosis, and the laparoscopic approach to its management.http://www.sciencedirect.com/science/article/pii/S221491122200056XBroad ligamentLeiomyomaFibroidMinimally invasive surgeryCase report |
spellingShingle | Vishal Bahall Lance De Barry Laparoscopic management of a true broad ligament leiomyoma in a patient with advanced endometriosis and a solitary kidney – A case report and literature review Case Reports in Women's Health Broad ligament Leiomyoma Fibroid Minimally invasive surgery Case report |
title | Laparoscopic management of a true broad ligament leiomyoma in a patient with advanced endometriosis and a solitary kidney – A case report and literature review |
title_full | Laparoscopic management of a true broad ligament leiomyoma in a patient with advanced endometriosis and a solitary kidney – A case report and literature review |
title_fullStr | Laparoscopic management of a true broad ligament leiomyoma in a patient with advanced endometriosis and a solitary kidney – A case report and literature review |
title_full_unstemmed | Laparoscopic management of a true broad ligament leiomyoma in a patient with advanced endometriosis and a solitary kidney – A case report and literature review |
title_short | Laparoscopic management of a true broad ligament leiomyoma in a patient with advanced endometriosis and a solitary kidney – A case report and literature review |
title_sort | laparoscopic management of a true broad ligament leiomyoma in a patient with advanced endometriosis and a solitary kidney a case report and literature review |
topic | Broad ligament Leiomyoma Fibroid Minimally invasive surgery Case report |
url | http://www.sciencedirect.com/science/article/pii/S221491122200056X |
work_keys_str_mv | AT vishalbahall laparoscopicmanagementofatruebroadligamentleiomyomainapatientwithadvancedendometriosisandasolitarykidneyacasereportandliteraturereview AT lancedebarry laparoscopicmanagementofatruebroadligamentleiomyomainapatientwithadvancedendometriosisandasolitarykidneyacasereportandliteraturereview |