{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T13:55:16Z","timestamp":1782222916564,"version":"3.54.5"},"reference-count":16,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,5,19]]},"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:p>Broad ligament leiomyomas are rare extra-uterine smooth muscle tumours that may present a diagnostic challenge, particularly in patients with a prior hysterectomy where they may closely mimic malignancy. We report a case of a woman in her early 60s, with a history of laparotomy and hysterectomy, who presented with abdominal pain and a pelvic mass detected on imaging. Intraoperatively, a large, solid, cystic pelvic mass was identified, adherent to the adjacent pelvic structures and deriving vascular support from the surrounding tissues. The mass was excised and sent for histopathological examination which confirmed the diagnosis of leiomyoma. This case emphasises that, despite their rarity, broad ligament leiomyomas should be considered as a potential cause of pelvic masses in post-hysterectomy patients. Accurate diagnosis requires careful clinicoradiological correlation and intraoperative assessment to prevent misdiagnosing as malignancy, with histopathological examination remaining the gold standard for diagnostic confirmation.<\/jats:p>","DOI":"10.1136\/bcr-2026-272794","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T13:35:35Z","timestamp":1782221735000},"page":"e272794","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Post-hysterectomy leiomyoma: an everlasting enigma"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-0728-7336","authenticated-orcid":false,"given":"Lakshmi","family":"Palaniappan","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Palaniappan","family":"Narayanan","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priyanka","family":"Senthilkumar","sequence":"additional","affiliation":[{"name":"Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,6,23]]},"reference":[{"key":"2026062306351171000_19.6.e272794.1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14640"},{"key":"2026062306351171000_19.6.e272794.2","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13102"},{"key":"2026062306351171000_19.6.e272794.3","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1210\/endrev\/bnab039","article-title":"Comprehensive Review of Uterine Fibroids: Developmental Origin, Pathogenesis, and Treatment","volume":"43","author":"Yang","year":"2022","journal-title":"Endocr Rev"},{"key":"2026062306351171000_19.6.e272794.4","doi-asserted-by":"publisher","DOI":"10.1148\/rg.287085095"},{"key":"2026062306351171000_19.6.e272794.5","doi-asserted-by":"crossref","DOI":"10.1002\/ccr3.6350","article-title":"Unusual case of broad ligament leiomyoma: A diagnostic and surgical challenge","volume":"10","author":"Lodhia","year":"2022","journal-title":"Clin Case Rep"},{"key":"2026062306351171000_19.6.e272794.6","doi-asserted-by":"crossref","DOI":"10.3389\/fsurg.2023.1101078","article-title":"Case report Iatrogenic parasitic leiomyoma: the surgeon\u2019s invisible hand","volume":"10","author":"Emery","year":"2023","journal-title":"Front Surg"},{"key":"2026062306351171000_19.6.e272794.7","article-title":"Iatrogenic Parasitic Leiomyomas: A Late and Uncommon Complication After Laparoscopic Morcellation","volume":"14","author":"Panesar","year":"2022","journal-title":"Cureus"},{"key":"2026062306351171000_19.6.e272794.8","doi-asserted-by":"crossref","DOI":"10.1186\/s12905-023-02410-3","article-title":"Parasitic myoma after transabdominal hysterectomy for fibroids: a case report","volume":"23","author":"Wang","year":"2023","journal-title":"BMC Womens Health"},{"key":"2026062306351171000_19.6.e272794.9","doi-asserted-by":"crossref","DOI":"10.3390\/cancers15072106","article-title":"Manifestations of Ovarian Cancer in Relation to Other Pelvic Diseases by MRI","volume":"15","author":"Bourgioti","year":"2023","journal-title":"Cancers (Basel)"},{"key":"2026062306351171000_19.6.e272794.10","doi-asserted-by":"crossref","unstructured":"Thanasa E , Thanasa A , Grapsidi V , et al . Primary Large Broad Ligament Fibroid: A Challenge in Surgical Practice. Cureus 2023;15. doi:10.7759\/cureus.51415","DOI":"10.7759\/cureus.51415"},{"key":"2026062306351171000_19.6.e272794.11","doi-asserted-by":"crossref","unstructured":"Pallavee P , Ghose S , Samal S , et al . Fibroid after Hysterectomy: A Diagnostic Dilemma. J Clin Diagn Res 2014;8. doi:10.7860\/JCDR\/2014\/8195.4532","DOI":"10.7860\/JCDR\/2014\/8195.4532"},{"key":"2026062306351171000_19.6.e272794.12","doi-asserted-by":"crossref","first-page":"1989","DOI":"10.18203\/2320-1770.ijrcog20251598","article-title":"A rare case of true broad ligament fibroid in postmenopausal women: a minimally invasive approach","volume":"14","author":"Sai Dhandapani","year":"2025","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"key":"2026062306351171000_19.6.e272794.13","article-title":"Giant Broad Ligament Leiomyoma: A Diagnostic and Surgical Challenge","volume":"16","author":"Jena","year":"2024","journal-title":"Cureus"},{"key":"2026062306351171000_19.6.e272794.14","doi-asserted-by":"crossref","first-page":"4019","DOI":"10.18203\/2320-1770.ijrcog20253556","article-title":"Broad ligament leiomyoma with cystic change mimicking as ovarian tumor","volume":"14","author":"Kaur","year":"2025","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"key":"2026062306351171000_19.6.e272794.15","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1111\/bju.15913","article-title":"Iatrogenic ureteric injury during abdominal or pelvic surgery: a meta\u2010analysis","volume":"131","author":"Yanagisawa","year":"2023","journal-title":"BJU Int"},{"key":"2026062306351171000_19.6.e272794.16","doi-asserted-by":"crossref","first-page":"1341","DOI":"10.1111\/1471-0528.17823","article-title":"Prophylactic ureteric catheterisation during complex gynaecological surgery: A systematic review and meta-analysis","volume":"131","author":"Gurumurthy","year":"2024","journal-title":"BJOG"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2026-272794","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T13:35:42Z","timestamp":1782221742000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2026-272794"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":16,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2026,6,23]]},"published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1136\/bcr-2026-272794"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2026-272794","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6]]}}}