Giant broad ligament leiomyoma with postoperative infection diagnosed with contrast-enhanced ultrasound: Case report and literature review

J Clin Ultrasound. 2022 Jan;50(1):138-147. doi: 10.1002/jcu.23081. Epub 2021 Oct 14.

Abstract

A 33-year-old woman of giant broad ligament leiomyoma with myxoid degeneration was misdiagnosed as ovarian tumor. The patient underwent a transabdominal myomectomy and developed a pelvic infection after operation diagnosed with contrast-enhanced ultrasound. She was cured and ultimately discharged after symptomatic treatment. Only 21 cases of giant broad ligament leiomyomas with a diameter larger than 12 cm were included. The present systematic review aimed to increase awareness of the clinical characteristics and treatment methods of giant broad ligament leiomyoma, and reduce the rates of misdiagnosis and postoperative complications.

Keywords: broad ligament; complication; contrast-enhanced ultrasound; leiomyoma.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Broad Ligament* / diagnostic imaging
  • Broad Ligament* / surgery
  • Diagnosis, Differential
  • Female
  • Humans
  • Leiomyoma* / diagnostic imaging
  • Leiomyoma* / surgery
  • Postoperative Complications / diagnostic imaging
  • Uterine Neoplasms* / diagnostic imaging
  • Uterine Neoplasms* / surgery