Giant Broad Ligament Leiomyoma: A Diagnostic and Surgical Challenge

Broad ligament leiomyomas are rare tumors present outside the uterine body. The incidence of giant broad ligament leiomyomas (weighing over 3 kg) remains relatively rare. In this report, we present the case of a peri-menopausal woman who came in with a large abdominal mass. She was provisionally diagnosed with a right ovarian mass and planned for an exploratory laparotomy. During the procedure, a large tumor originating from the right broad ligament was seen. The tumor was occupying almost the whole of the abdominal cavity, and we faced lots of challenges to resect it without damaging the ureter and the bowel loops. This case report highlights the difficulty of diagnosing a giant broad ligament fibroid pre-operatively. It also emphasizes the intra-operative challenges faced during the management of this extremely rare condition.