Bhopesh Kadian

Abstract

Introduction: Broad ligament leiomyomas are uncommon but when they occur they can present in varying degrees of bladder and bowel obstruction. A definite diagnosis of the broad ligament leiomyoma was made after histopathological report of the specimen obtained after operating the patient. Case Presentation: A 45 years old female had a history of pain in abdomen and increase abdominal girth for 6 months. On the basis of CT scan a diagnosis of left adnexal mass was made. She was advised surgery and subsequently a mass of 30 cm x 21 cm x 22 cm was resected which weighed 11.05 kgs. Clinical Discussion: Hyaline degeneration 8 is most common among all of the secondary changes in leiomyomas. However, a dilemma in diagnosis caused by myxoid degeneration. In present case there is presence of both hyaline and myxoid degeneration. Conclusion: This is a unique presentation of a broad ligament leiomyoma which mimicked ovarian malignancy for which staging laparotomy was done.   Keywords: Broad ligament leiomyoma, Ovarian malignancy, Myxoid leiomyoma.

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Abstract

Isolated splenic hydatid disease is an extremely rare entity accounting for less than 3% of the total incidence of Echinococcosis. We present a case of 26yr female presenting with pain in the left hypochondrium and low-grade fever. CECT abdomen showed three loculated lesions in spleen features suggestive of hydatid cysts. She underwent splenectomy with a specimen that showed multiple splenic hydatid cysts. This case report highlights the rare presentation of isolated multiple hydatid cysts of the spleen and its successful diagnosis and treatment. Keywords: Spleen, Ecchinococcus, Echinococcosis

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