Focal adenomyoma of the round ligament: diagnostic dilemma and surgical insight

Focal adenomyoma is a well-circumscribed nodular lesion composed of smooth muscle tissue, endometrial glands, and endometrial stroma.It may be intrauterine or, rarely, extrauterine.Ovarian ligament involvement is rare, with only 12 case reports documented in the literature to date. 1,2Due to its rarity, there is currently no consensus on the optimal diagnostic or therapeutic approach.A 39-yearold woman, married for 15 years, gravida 3, para 0, with a history of three Cesarean sections, presented to a medical center with progressively worsening chronic pelvic pain (CPP), pelvic heaviness, severe congestive dysmenorrhea, and gastrointestinal symptoms, including flatulence, dyspepsia, and indigestion, for 6 months.The patient reported intermittent episodes of right pelvic pain.The patient was