Multiple sections from the broad ligament
mass showed a benign soft tissue tumour composed of spindle cells arranged in interlacing bundles, sheets and whorling pattern.
Two theories had been proposed to explain the pathogenesis of Intraligamentary pregnancy otherwise referred to as broad ligament
The first assistant uses the 2-mm grasper to tent the anterior leaf of the broad ligament
, and the surgeon utilizes the scissors to outline and develop the bladder flap as described above.
Intra-abdominal bleeding is usually due to bleeding from the angle of the uterine incision which may cause free blood in the peritoneal cavity or a broad ligament
Each ovary is suspended by the cranial part of the broad ligament
On either side of the uterus, connecting it to the side wall of the pelvic cavity, is the broad ligament
, which also encloses a Fallopian tube and an ovary and a ligament called a round ligament, which supports the uterus.
2 The most commonly involved organs are cervix, broad ligament
, ovary and uterine myoma, with the rectosigmoid colon and urinary system to the next commonly affected.
If you "hug" just the round ligament, you will open into the broad ligament
and easily be able to isolate the gonadal pedicle.
This case report of broad ligament
myoma with extensive cystic degeneration is presented for its rarity and diagnostic challenges as they mimic pelvic adenexal tumors.
3] Other non-adrenal sites include the coeliac axis, renal parenchyma, broad ligament
and ovary; the placenta, hepatic, pulmonary and intracranial lesions, including eleventh cranial deposits, have also been described.
It may be complete which involve the entire uterine wall or incomplete, when a cover of viseral peritoneum or broad ligament
is left over the uterus.
If there is any question about the path of the ureter and its proximity to the infundibulopelvic ligament or the uterine vasculature--as in the case of endometriosis or broad ligament
fibroids--then ureterolysis will be performed.
I carefully inspected the specimen and I found that if I had tied the broad ligament
and removed the ruptured tube I should have completely arrested the haemorrhage and I now believe that should I have done this the patient's life would have been saved'.
Rare paragangliomas have also been described in locations outside the distribution of the autonomic nervous system, where normal paraganglionic tissue has not yet been characterized, such as the genitourinary tract, spermatic cord, sacrococcygeal area, anus, renal capsule, broad ligament
of the uterus, ovary, and the vaginal wall.
If you were to place a clamp from the posterior leaf of the broad ligament
across to the anterior leaf of the broad ligament
, you would be grasping all the vessels but not the ureter.