Large Cervical Fibroid

Usha Kiran TS, Rajshree Dayanand Katke, Purva Pimple
2016 Journal of Case Reports  
Leiomyomas are the most common uterine and pelvic tumors. The usual anatomical location is the uterus. Cervical leiomyomas are uncommon (1-2%) [1] and present as huge abdominal mass. We report a case of a 30 year old female who presented with abdominal pain and menorrhagia over 1 year. Abdominal examination revealed a non-tender, solid mass of 24 weeks size pregnant uterus filling the abdominal cavity with restricted mobility. Lower border of the mass could not be felt. Vaginal route for
more » ... al route for hysterectomy could not be accessed as posterior pouch could not be reached. On laparotomy, uterus was pushed upward up to umbilicus and uterus was sitting on the top of the fibroid. Fibroid was posterior to cervix and lower uterine segment. Cervical fibroid was removed by enucleation and total abdominal hysterectomy with right salpingo-ophorectomy. Histopathological examination showed a cervical fibroid with hyaline and cystic degeneration. Patient had an uneventful post-operative recovery.
doi:10.17659/01.2016.0095 fatcat:o42wubo2mzffjkbkrich6s5wae