Huge intraligamental leiomyoma: Two cases and review of the literature

Intraligamental leiomyomas are usually small and asymptomatic. On very rare occasions, it can become so enlarged as to occupy the whole abdominopelvic cavity. Here, we report the clinical presentations and peri-operative management of two cases with massive intraligamental leiomyoma which weighed 11.1 kg and 3.7 kg respectively. Both of the cases presented with indolent symptoms lasting for months. One patient underwent hysterectomy, whereas the other underwent myomectomy. The postoperative courses were uneventful. Huge intraligamental leiomyomas are challenges even for experienced surgeons and thus need careful attention. The operation for every patient should be individualized to avoid the risk of injury to adjacent organs and incur massive blood loss.