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Large, extra-abdominal leiomyoma of the round ligament with carneous degeneration
  1. Kyle D Klingbeil,
  2. Ann M Polcari,
  3. Basem Azab,
  4. Dido Franceschi
  1. Department of Surgical Oncology, Miller School of Medicine, University of Miami, Miami, Florida, USA
  1. Correspondence to Kyle D Klingbeil, kdk24{at}


Round ligament tumours represent a rare entity that can present similarly to an incarcerated hernia. Basic understanding and appropriate preoperative management is imperative in order to differentiate between the two diagnoses. Leiomyoma is the most common type of round ligament tumour. It is associated with oestrogen exposure and is more common in the presence of uterine leiomyomas. Here we discuss a 68-year-old woman who presented with a palpable left inguinal mass that progressively grew in size, associated with pelvic pressure and discomfort. On surgical resection, the mass was found to be derived from the round ligament at the entrance of the external inguinal ring. Pathology confirmed a round ligament leiomyoma, measuring 25×9×8.5 cm. This case is the largest round ligament leiomyoma recorded to date and the first to exhibit carneous degeneration. A review of the current literature is also provided.

  • oncology
  • carcinogenesis
  • gynecological cancer
  • general surgery
  • surgical oncology
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  • Contributors KDK and AMP were involved in the conception, design and drafting of the article. BA and DF were involved in the critical revision for important intellectual content and drafting of the article. All authors provided final approval of the version published and are in agreement to be accountable for the article contents.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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