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J Clin Imaging Sci. 2013 Feb 28;3:8. doi: 10.4103/2156-7514.107912. Print 2013.

Broad ligament fibroid mimicking as ovarian tumor on ultrasonography and computed tomography scan.

Journal of clinical imaging science

Dayananda Kumar Rajanna, Vaibhav Pandey, Sujit Janardhan, Sujatha N Datti

Affiliations

  1. Department of Radiology, MVJ Medical College and Research Hospital, Bangalore, Karnataka State, India.

PMID: 23607077 PMCID: PMC3625880 DOI: 10.4103/2156-7514.107912

Abstract

Giant fibroids are known to arise from the uterus, and very rarely from the broad ligament. Large fibroids often undergo hyaline, cystic, and at times, red degeneration. In the present case, cystic degeneration with intervening septations in an adnexal mass raised the suspicion of ovarian neoplasm as the ovaries were not seen as separate from the lesion. The ultrasonographic and contrast-enhanced computed tomographic findings of this case were characteristic of ovarian neoplasm. The differential diagnosis included rare possibility of giant fibroid with cystic degeneration. The diagnosis was confirmed on histopathological examination. The patient underwent excision of the broad ligament fibroid, hysterectomy, and bilateral salpingo-oophorectomy. Magnetic resonance imaging has a role in the diagnosis of such lesions.

Keywords: Broad ligament; computed tomography scan; fibroid; ultrasonography

References

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