A postmenopausal woman with sciatica from broad ligament leiomyoma: a case report
1Department of Medicine, St Vincent's Hospital Melbourne, 41 Victoria Parade Fitzroy, 3065, Melbourne, VIC, Australia. maytsai1990@gmail.com.
Journal of Medical Case Reports
|November 2, 2016
Summary
Broad ligament leiomyomas are rare, especially in postmenopausal women. This case demonstrates how a symptomatic broad ligament leiomyoma can cause leg and abdominal pain, relieved by myomectomy.
Area of Science:
- Gynecologic Oncology
- Surgical Gynecology
Background:
- Broad ligament leiomyomas are uncommon benign tumors with low clinical significance, particularly post-menopause.
- Unilateral lower abdominal and sciatic nerve pain are frequent complaints in the elderly.
Observation:
- A 62-year-old postmenopausal woman presented with left leg and iliac fossa pain, unresponsive to analgesia.
- Imaging revealed an ipsilateral adnexal mass consistent with a broad ligament leiomyoma.
Findings:
- Laparoscopic broad ligament myomectomy was performed to address the symptomatic mass.
- The patient experienced significant symptom alleviation following the surgical intervention.
Implications:
- This case underscores the need to consider uncommon diagnoses for prevalent symptoms like iliac fossa and leg pain.
- Symptomatic broad ligament leiomyomas, though rare, warrant attention due to their potential to cause significant discomfort and mimic other conditions.
