Open AccessFibroid after Hysterectomy: A Diagnostic Dilemma
Author(s) -
Seetesh Ghose,
Sunita Samal,
Jasmina Begum,
M Zabeen
Publication year - 2014
Publication title -
journal of clinical and diagnostic research
Language(s) - Uncategorized
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2014/8195.4532
Subject(s) - exploratory laparotomy , medicine , hysterectomy , leiomyoma , uterine fibroids , laparotomy , radiology , vagina , differential diagnosis , broad ligament , surgery , pelvic pain , uterus , pathology
Broad ligament fibroids are rare and often pose clinical diagnostic difficulties. We report a case of broad ligament fibroid in a woman after hysterectomy. The lady presented to us with continuous lower abdominal pain of seven months duration. Bimanual examination revealed a firm mass on the right side of the vaginal vault. Transvaginal sonogram and computed tomography scan was suggestive of possible parasitic leiomyoma or a broad ligament fibroid. Exploratory laparotomy and removal of the mass, followed by histological examination confirmed leiomyoma. Extra-uterine fibroid should be considered in the differential diagnosis of pelvic masses even in the post-hysterectomy state.