[LAPAROSCOPIC TREATMENT OF INTRALIGAMENTAL LEIOMYOMA PER MAGNA].

Area of Science:

• Gynecology
• Surgical Oncology

Background:

• Uterine myomas are common benign tumors, but intraligamentary locations within the broad ligament are exceptionally rare.
• Degenerative changes in myomas can mimic malignant masses, posing diagnostic challenges.

Observation:

• A 50-year-old female presented with severe pain due to a large, 22 cm intraligamentary myoma exhibiting cystic degeneration.
• The tumor's size and degenerative features presented a diagnostic dilemma, requiring careful evaluation to rule out malignancy.

Findings:

• Total laparoscopic hysterectomy was performed for the intraligamentary myoma.
• Ablastic vaginal morcellation within an endobag was utilized for safe specimen removal.

Implications:

• This case underscores the importance of considering rare presentations of uterine myomas.
• Minimally invasive laparoscopic techniques are effective for managing large, complex uterine masses.
• Successful surgical management led to rapid patient recovery and discharge.