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Abstract
Background:
Round ligament fibroids are
rare benign tumors that might
manifest as vulvar, adnexal,
or inguinal masses primarily
because of their anatomical
extension.
Case
Report: A 44-year-old
lady who was not a known case
of any medical illness was
referred to the outpatient
clinic in May 2022, after
an incidental ultrasound finding
of a subserosal fibroid. Upon
examination, a hard mass was
felt in the suprapubic area
around 12 weeks size, yet
due to the obese body type,
proper examination was not
possible. An ultrasound scan
of the pelvis revealed multiple
fibroids in the uterus, measuring
7x6 cm anteriorly, 4.5x3.5
cm posteriorly, and fundal
4.2x2.4 cm. After 12 months
of conservative follow-up,
another pelvic ultrasound
scan was done, which revealed
an anteverted bulky uterus
measuring 11.9 x 8 cm, with
multiple fibroids, the largest
measuring 4.8x 4.5 cm at the
lower uterine segment and
5.5x 4 cm at the fundus. These
findings suggested a growing
sessile subserosal uterine
fibroid with extensions, dimensions,
and relations. Finally, the
patient was diagnosed with
leiomyoma with cystic and
hyaline degeneration, negative
for atypia and malignancy.
Laparotomy myomectomy was
done, and the specimen consisted
of a single oval mass weighing
410 gm and measuring 11x8x7.5
cm.
Conclusion:
The diagnosis of round ligament
fibroid is often challenging
due to its anatomical position.
Keywords:
Round ligament fibroid, laparotomy
myomectomy, leiomyoma, case
report
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