Document Type : Case Reports


Dept. of Pathology, Recep Tayyip Erdogan University School of Medicine, Rize, Turkey


Round ligament leiomyoma of uterus is rare. It can be presented as inguinal swelling mimicking the inguinal hernia or lymph node. Surgical excision is its curative treatment. Definitive diagnosis is made by histopathological examination. A 32 year old pregnant patient having round ligament leiomyoma as diagnosed histopathologically in Recep Tayyip Erdogan University Hospital in 2014 was presented here as the sixth case in literature.


  1. Birge O, Arslan D, Kinali E, Bulut B. Round ligament of uterus leiomyoma: an unusual cause of dyspareunia. Case Rep Obstet Gynecol 2015; 2015: 197842.
  2. Canto MJ, Palmero S, Palau J, Ojeda F. Laparoscopic management of a leiomyoma of the round ligament. J Obstet Gynaecol 2015; 18:1. [Epub ahead of print]
  3. Colak E, Ozlem N, Kesmer S, Yildirim K. A rare inguinal mass: Round ligament leiomyoma. Int J Surg Case Rep 2013; 4(7): 577-8.
  4. Ali SM, Malik KA, Al-Qadhi H, Shafiq M. Leiomyoma of the Round Ligament of the Uterus: Case report and review of literature. Sultan Qaboos Univ Med J 2012; 12(3): 357-9.
  5. Pozzi PC. Leiomyoma of the round ligament complicating pregnancy. Riv Ostet Ginecol Prat 1957; 39(6): 549-59.
  6. Kelly EG, Babiker M, Meshkat B, Beggan C, Leen E, Keeling P. An unusual finding in the inguinal canal of a 26-week pregnant patient. Hernia 2013; 17(4): 537-40.
  7. Meen E, Vergis A. Rare cause of an inguinal mass in pregnancy. Can J Surg 2008; 51(6): E124.
  8. Sciannameo F, Madami G, Madami C et al. Torsion of uterine fibroma associated with incarcerated inguinal hernia in pregnancy. Case report. Minerva Ginecol 1996; 48(11): 501-4.
  9. Sherer DM, Edgar DM, Pulli GJ, Scibetta JJ. Pedunculated uterine fibroid simulating an incarcerated inguinal hernia in pregnancy. Am J Obstet Gynecol 1994; 170(3): 724-5.
    1.  David MW, Stanley RM. Leiomyoma of extraperitoneal round ligament: CT demonstration. Clin Imaging 1999; 23(6): 375-6.
  10. Rein MS, Barbieri RL, Freidman AJ. Progesterone: A critical role in the pathogenesis of uterine myomas. Am J Obstet Gynecol 1995; 172(1): 14-8.
  11. Smith P, Heimer G, Norgren A, Ulmsten U. The round ligament: A target organ for steroid hormones. Gynecol Endocrinol 1993; 7(2): 97-100.
  12. Harish H, Sowmya NS, Indudhara PB. A rare case of round ligament leiomyoma:an inguinal mass. J Clin Diagn Res 2014; 8(10): NJ05-6.
  13. Bhosale PR, Patnana M, Viswanathan C, Szkalaruk J. The inguinal canal: anatomy and imaging features of common and uncommon masses. Radiographics 2008; 28(3): 819-35.