Broad ligament fibroid is a benign smooth muscle tumor which originates from the broad ligament hormone-sensitive smooth muscle or secondarily from the uterine smooth muscle. [5,6] Extrauterine leiomyoma which commonly occurs in the broad ligament is usually asymptomatic.

Does the broad ligament cover the ovary?

The broad ligament contains the following structures: Fallopian tubes. Ovaries. Ovarian arteries.

What’s a broad ligament?

(brod LIH-guh-ment) The layer of tissue that connects the sides of the uterus to the walls and floor of the pelvis. The broad ligament covers the uterus, ovaries, and fallopian tubes. It also includes nerves and blood vessels to these organs.

What is broad ligament hematoma?

Broad ligament hematomas can result in large volumes of blood loss by dissecting into the retroperitoneal spaces. The source of a broad ligament hematoma can be venous, arterial, or both. Arterial bleeding usually results in a rapidly expanding hematoma. Venous bleeding typically results in slower expansion.

Where does the broad ligament attach?

uterus
The broad ligament is a peritoneal fold that attaches the uterus, fallopian tubes, and ovaries to the pelvis.

Why is the broad ligament important?

The broad ligament is believed to hold the uterus in its normal position within the pelvis and maintains the relationship of the fallopian tubes to the ovaries and the uterus, a role that might be important in reproduction. However, the broad ligament plays a minimal role, if any, in pelvic support.

What is the role of broad ligament?

What causes a broad ligament tear?

When broad ligament hematomas occur spontaneously, they are usually due to vessel rupture, most commonly the uterine artery. Spontaneous uterine artery rupture has been found to cause 40% maternal mortality when associated with labor and may be a result of pronounced blood pressure fluctuations during labor.

Why does round ligament pain occur on the right side?

Round ligament pain refers to a type of cramping caused by stretching of the round ligaments. These ligaments proceed from the front of the uterus. This type of pain occurs more commonly on the right side of the pelvis because the uterus normally rotates to the right as the pregnancy advances.

Does Round ligament pain mean the baby is growing?

As a baby grows in the womb, it stretches the uterus and the round ligaments. This stretching can cause spasms in the round ligaments, leading to the pain. Round ligament pain occurs almost exclusively in pregnancy.

Broad ligament fibroid is a benign smooth muscle tumor which originates from the broad ligament hormone-sensitive smooth muscle or secondarily from the uterine smooth muscle. [5], [6] Extrauterine leiomyoma which commonly occurs in the broad ligament is usually asymptomatic.

What does a 20 cm fibroid beside the uterus indicate?

Ultrasonographic examination showed 20 cm fibroid beside the uterus suggesting broad ligament fibroid. On laparotomy, the uterus was elevated up and deviated laterally by the mass. A 20 cm broad ligament fibroid was seen extending deep in the pelvis and up filling all the broad ligament.

How common is broad ligament ectopic pregnancy?

Broad ligament ectopic pregnancy, also known as intraligamentary pregnancy, is considered a kind of abdominal pregnancy with the gestational tissue implanted between the 2 layers of the broad ligament.1–3 It has a reported incidence of 1 in 183,900 and occurs in about 1 in 245 ectopic pregnancies.3

What is the pathophysiology of fibroid myomectomy with laparotomy?

On laparotomy, the uterus was elevated up and deviated laterally by the mass. A 20 cm broad ligament fibroid was seen extending deep in the pelvis and up filling all the broad ligament. Myomectomy was performed initially to decompress the mass for easy hysterectomy and carefully evaluating the ureter avoiding its injury.