[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-441907-105":59,"doc-detail-441907-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","a-primary-fistula-connecting-a-broad-ligament-leiomyoma-to-the-cervix","A primary fistula connecting a broad ligament leiomyoma to the cervix","","The endocervico-myomatous fistula represents a rare complication reported after uterine artery embolization, but a primary case of this specific nature has not been documented in PubMed. The study presents diagnostic and therapeutic strategies for a primary fistula linking a broad ligament leiomyoma to the cervix. A 35-year-old woman with persistent vaginal bleeding had ultrasound findings initially interpreted as bicornuate unicollis uterus. Laparoscopic resection confirmed broad ligament leiomyoma with fistula formation, and postoperative recovery was uneventful.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/a-primary-fistula-connecting-a-broad-ligament-leiomyoma-to-the-cervix/441907/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/a-primary-fistula-connecting-a-broad-ligament-leiomyoma-to-the-cervix/441907.png","ImageObject",300,407,{"name":92,"@type":93},"Terk","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What rare condition did this case focus on?","Question",{"text":113,"@type":114},"It focused on a primary fistula connecting a broad ligament leiomyoma to the cervix (endocervico-myomatous fistula).","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How did imaging initially misinterpret the findings?",{"text":118,"@type":114},"Transvaginal ultrasound features were initially interpreted as a bicornuate unicollis uterus with two uterine cavities communicating with a single cervix.",{"name":120,"@type":111,"acceptedAnswer":121},"What confirmed the diagnosis and what was the outcome?",{"text":122,"@type":114},"Laparoscopic resection and subsequent surgical and pathological findings confirmed a broad ligament leiomyoma with fistula formation, and the patient recovered without postoperative complications.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},441907,1790957138,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":52,"preview_page_count":4},1099525198933,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Radiology Ca s e Reports 21 (2026) 1136 – 1139  \nAvailable online [at](at www.sciencedirect.com)[ www.sciencedirect.com](at www.sciencedirect.com)  \njournal [homepage:](homepage: www.elsevier.com/locate/radcr)[ www.elsevier.com/locate/radcr](homepage: www.elsevier.com/locate/radcr)  \n| Case Report\u003Cbr>A primary fistula connecting a broad ligament leiomyoma to the cervix ✩,✩✩\u003Cbr>Kui Liang, MDa, Kunxue Gong, MDb, Xin Song, MDa, Wenjun Zhang, MDa,∗\u003Cbr>a Department of Ultrasound, Taihe hospital, Hubei University of Medicine, Shiyan, China b Department of Gynecology, Taihe hospital, Hubei University of Medicine, Shiyan, China |  |  |\n| --- | --- | --- |\n| a r t i c l e i n f o |  | a b s t r a c t |\n| Article history:\u003Cbr>Received 5 October 2025 Revised 23 November 2025 Accepted 26 November 2025 |  | The endocervico-myomatous fistula is a rare condition that has been reported as a complication following uterine artery embolization. To date, no primary case of this nature has been documented in the PubMed database. The objective of this study was to present the diagnostic and therapeutic approaches for a primary fistula connecting a broad ligament leiomyoma to the cervix. A 35-year-old woman with vaginal bleeding, transvaginal ultrasound revealed features initially interpreted as a bicornuate unicollis uterus according to the ASRM 2021 classification, with 2 distinct uterine cavities communicating with a single cervix. The hysteroscopy revealed a prominent cavity on the left side of internal os of the cervical canal containing aged clots and mucus. The patient underwent laparoscopic resection of the pelvic lesion, subsequent surgical findings confirmed this to be a broad ligament leiomyoma with fistula formation rather than a true Müllerian anomaly. The postoperative pathology revealed the presence of leiomyoma with hyaloid degeneration. The patient had uneventful postoperative recovery. This case underscores the rare presentation of a broad ligament leiomyoma with fistula formation as a differential diagnostic consideration for bicornuate unicollis uterus in gynecological ultrasonography. A systematic literature review revealed no analogous reports, highlighting the uniqueness and instructional value of this case.\u003Cbr>© 2025 The Authors. Published by Elsevier Inc. on behalf of University of Washington.\u003Cbr>This is an open access article under the CC BY-NC-ND license\u003Cbr>([http://creativecommons.org/licenses/by-nc-nd/4.0/](http://creativecommons.org/licenses/by-nc-nd/4.0/)) |\n| Keywords:\u003Cbr>Broad ligament Leiomyoma Cervix Fistula Primary |  |  |\n\nIntroduction  \nIntraligamental myomas represent a rare subtype of uterine fibroids that originate from the lateral uterine wall and ex-  \ntend into the broad ligament [1] . Due to their unique growth patterns, these tumors may displace critical pelvic structures such as uterine vessels and ureters, leading to anatomical distortion and increasing the complexity and risk of surgical intervention [2] . Accurate preoperative diagnosis is there-  \n✩ Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.  \n✩✩ Acknowledgments: The authors thank the patient for receiving detailed telephone follow-up after the operation and allowing us to publish this case. No funding provided.  \n∗ Corresponding author.  \nE-mail [address:](address: pulushi68@126.com)[ pulushi68@126.com](address: pulushi68@126.com) (W. Zhang).  \n[https://doi.org/10.1016/j.radcr.2025.11.075](https://doi.org/10.1016/j.radcr.2025.11.075)  \n1930-0433/© 2025 The Authors. Published by Elsevier Inc. on behalf of University of Washington. This is an open access article under the CC BY-NC-ND license ([http://creativecommons.org/licenses/by-nc-nd/4.0/](http://creativecommons.org/licenses/by-nc-nd/4.0/))  \nfore crucial to prevent intraoperative complications. However, atypical clinical presentations can complicate ","cbCain234KPkf1j3","https://ap.wps.com/l/cbCain234KPkf1j3","pdf",990683,"English","# Introduction\n# Case report","[{\"question\":\"What rare condition did this case focus on?\",\"answer\":\"It focused on a primary fistula connecting a broad ligament leiomyoma to the cervix (endocervico-myomatous fistula).\"},{\"question\":\"How did imaging initially misinterpret the findings?\",\"answer\":\"Transvaginal ultrasound features were initially interpreted as a bicornuate unicollis uterus with two uterine cavities communicating with a single cervix.\"},{\"question\":\"What confirmed the diagnosis and what was the outcome?\",\"answer\":\"Laparoscopic resection and subsequent surgical and pathological findings confirmed a broad ligament leiomyoma with fistula formation, and the patient recovered without postoperative complications.\"}]","A primary fistula connecting a broad ligament leiomyoma to the cervix | PDF",1790698048]