Uterine fibroid delivered through the cervix: diagnostic and therapeutic management about 23 cases collected at Yopougon teaching hospital, Abidjan, Côte d’Ivoire

Abstract

Uterine leiomyomas or fibromyomas, more commonly known as fibroid are the most common tumours of the female reproductive tract. Sometimes a submucosal leiomyoma may become pedunculated and progressively externalize from the uterine cavity, causing increased uterine irritability, metrorrhagia and anaemia, pelvic pain and heaviness, and perception of a vaginal mass. Prevalence of this clinical form is rare. We report our experience of taking a series of twenty-three patients, which objectives was contributed to improvement of management of uterine fibroids. We reported our observation in the epidemiological, clinical and therapeutic aspects of cervical delivered forms. It took place from November 2017 to November 2021. These were housewives with an average age of 41.30 years (27-56 years). 63.61% of whom were over 40 years old, the majority of whom were pauciparous (45.46%) with an average parity of 2.91. Nulliparous women accounted for 18.18% of the total. The average duration of the disease was 7.56 months and could reach 48 months. The reason for consultation was dominated by anaemia with 77.27%. The fibroids varied in size (mean 7 cm) and sometimes exceeded 15 cm. Transfusion of concentrated red blood cells was almost constant (88.24%). Surgical treatment was myomectomy by twisting with 53.33% followed by hysterectomy in 26.67%. Management of fibroma delivered through the cervix were anemia frequently requiring a prior blood transfusion. Treatment remains surgery. Informing and educating patients about early consultation would improve the morbidity associated with this condition.