Polydactyly

M.62yrs Pain neck. 6months Difficulty in swallowing 10 days

F.43yrs. Pain & swelling at angle of left lower jaw. 5 months

TRUE BROAD LIGAMENT FIBROID *Chief Complaints* 40 year old female presented with lower abdominal pain and heaviness since 6 months *History* Case of para 2 previous 2 normal deliveries presented with lower abdominal pain and heaviness since 6 months. History of increased frequency of micturition. No history of noticing any mass per abdomen. No bowel disturbances. No loss of weight *Vitals* Pulse 78/ min. BP 116/80 mmHg. *Physical Examination* Per abdomen uterus irregularly enlarged to 16 weeks size felt more on left side occupying hypogastric and left ileac fossa region. Per speculum examination. Cervix deviated to right side, with os pointing towards left. Per Vaginal Examination. Uterus iregularly enlarged to 16 weeks size deviated to left. No groove felt between mass and uterus. Cervix felt on right side around 2 cm length os facing left side. *Investigations* Ultrasound revealed fibroid on left lateral wall of uterus around 10*12 cm. No other fibroids seen. Both ovaries normal. *Diagnosis* Fibroid uterus *Management* Patient taken for laparotomy. OT FINDINGS :- Uterus normal size True left sided broad ligament fibroid noted 10*10 cm. Uterine vessels noted to be traversing medial to fibroid. Hysterectomy done taking care of ureter. Histopath came as fibroid

F.43yrs. Pain & swelling left hand 4 months.

M.35yrs. Diagnosis please.