2026, Number 3-4
Intraligamentary fibroid masked as an ovarian cyst, a great surgical challenge in a young patient. Case report
Zárate-Flores MA, García-Murillo IM, Perea-Espinosa E
Full text
10.35366/124123
Language: Spanish
References: 7
Page: 101-105
PDF size: 1481.35 Kb.
ABSTRACT
Introduction: leiomyomas are the most common benign tumors of the uterus, occurring most frequently in women of reproductive age. The associated signs and symptoms depend on the type and location within the uterus. Intraligamentary fibroids are a rare subtype and can be asymptomatic; however, they can also present with nonspecific symptoms and may appear on imaging as an adnexal tumor. Case report: a 27-year-old patient presented with abnormal uterine bleeding, oppressive pain in the right iliac fossa, and recent-onset dyspareunia. She did not experience relief with analgesics, so she sought a gynecological evaluation. Endovaginal ultrasound revealed an enlarged right ovary. Primary diagnosis: during operative laparoscopy, a right intraligamentary tumor consistent with a 6 cm fibroid was identified and removed. Conclusions: abnormal uterine bleeding and pelvic pain are the main reasons why women of reproductive age seek gynecological consultation. Adnexal masses and uterine fibroids are among the primary causes. Both conditions can present with similar signs and symptoms; therefore, it is important to perform additional diagnostic studies and consider diagnostic and therapeutic laparoscopy, as was done in this case.REFERENCES