# Broad Ligament Leiomyomata - An Important Differential Diagnosis in Huge Abdominal Mass: A Case Report

## TL;DR

This case report describes a rare occurrence of large broad ligament leiomyomas in a 50-year-old woman, emphasizing the need to consider extra-uterine tumors in abdominal mass diagnoses.

## Contribution

The novelty lies in presenting an unusual case of multiple broad ligament leiomyomata extending across a large abdominal region.

## Key findings

- The patient had multiple broad ligament leiomyomata spanning from the left iliac fossa to the epigastric region.
- The case underscores the importance of considering extra-uterine leiomyomas in the differential diagnosis of large abdominal masses.
- Leiomyomas are typically uterine but can occur in rare locations like the broad ligament.

## Abstract

Leiomyomas are a common gynaecological condition affecting 20-30% of women over the age of 35, with prevalence decreasing following menopause. Leiomyomas are most commonly found within the uterus. Rarer extra-uterine locations include the broad ligament, cervix, and vagina. We present an unusual case of multiple Left Broad Ligament Leiomyomata that extended from Left Iliac Fossa and Hypogastrium to Epigastric region in a 50-year-old female. Our case highlights the importance for extra-uterine leiomyoma to be considered as a differential diagnosis in patients presenting with huge abdominal mass suspicious of adnexal tumor or malignancy.