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Updated: Jul 17, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Massive leiomyoma of the broad ligament
Tyler Muffly1, Indira Vadlamani, John C Weed
1Department of Obstetrics and Gynecology, University of Missouri at Kansas City, Missouri 64108, USA. tylermuffly@hotmail.com
Background:
A primary broad ligament leiomyoma weighing greater than 50 kg presented unique perioperative complications.
Case:
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.
Conclusion:
When removing a pelvic mass, consider primary broad ligament leiomyoma for its unique vascular pathophysiology and size complications.
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