Abstract

Round ligament fibroids are rare tumors and can present as vulval, inguinal, and adnexal masses. A 27-year-old unmarried female presented with pelvic pain that persisted for a few days. Pelvic ultrasonography detected a well-defined solid hypoechoic lesion of size 35 x 28 mm adjacent to the right ovary with minimal vascularity noted at the lesion’s margins. MRI showed a welldefined solid lesion measuring 3.4 x 3.5 x 2.4 cm in the right adnexa, seen separately from the right ovary and focally abutting it. All tumor markers were normal. Laparoscopic exploration revealed a well-defined pink solid mass from the right round ligament and histopathology revealed a leiomyoma. Diagnosing round ligament fibroids can be challenging; diagnostic laparoscopy is the gold standard.