Huge Anterior Lip Cervical Fibroma Presenting as Gynaecological Emergency: A Rare Case Report
Abstract
Leiomyoma are the most common tumours of female pelvis .These are mostly composed of smooth muscle cells and variable amount of tissues from extracellular matrix. Most of the fibroids are located in body of uterus but only 1-2% are located in cervix. We report a case of 35 year old female who presented to us with a big vaginal mass ,pain, difficulty in walking and excessive bleeding and clinically differential diagnosis of chronic inversion , infected cervical polyp, procidentia and cervical fibroid was made but after preoperative evaluation , surgery and histopathology report it was diagnosed as cervical fibroid. Pedunculated cervical fibroid is a rare entity and patient presenting in shock is unusual presentation as in our case where we did not have the time for proper investigation and immediate measures had to be taken for the management.
Downloads
References
2. Buttram VC Jr, Reiter RC. Uterine leiomyomata: etiology, symptomatology, and management. Fertil Steril. 1981 Oct;36(4):433-45. [PubMed]
3. Faerstein E, Szklo M, Rosenshein N. Risk factors of uterine Leiomyoma: A practice-based case-control study. African-American, Heritage, reproductive history, body size, and smoking. Am J Epidemiol. 2001 Jan 1;153(1):1-10.
4. Van Voorhis BJ, Romitti PA, Jones MP. Family history as a risk, Factor for development of uterine leiomyomas: result of a pilot Study. J Reprod Med. 2002 Aug;47(8):663-9. [PubMed]
5. T. Evans III, J.H. Pratt. A giant fibroid uterus. Obstet Gynecol. 1979 Sep;54(3):385-6. [PubMed]
6. Monaghan JM, Lopes AB, Naik R. Total hysterectomy for cervical and broad ligament fibroids. In: Huxley R, Taylor S, Chandler K, editors.Bonney’s gynaecological surgery 10th ed. Blackwell Publishing. 2004; 74-86.
7. LeleyL, Breech and John A Rock Te Linde’s Operative Gynaecology In: leiomyomataUteri and Myomectomy, 10 Ed. 2014; Chapter 31: 687-724.
8. Huge cervical fibroid: Unusual presentation, Kaur A.P. et al. The Journal of Obstetrics & Gynaecology of India 2002. Jan-Feb; 52(1) : 164-165.
9. Swati Singh, Priyakshi Chaudhary. International Journal of Reproduction, Contraception, Obstetrics and Gynecology . Int J Reprod Contracept Obstet Gynecol. 2013 Dec;2(4):687-688.
10 Dr. Surana Akash Dilip, Dr. Gautam .S. Aher, Dr. Urmila Gavali. Huge Fibroid-Polyp: A Case Report Sch J Med Case Rep 2014; 2(2):78-79.
11. Tanweer Karim, Kundan Patil,Anuradha Pancha,lChandramauli Basu .Open Access Surgery 2010:3 13–15. [PubMed]