Cervical fibroid: medical and surgical challenges faced

Ishaan S. Pandore; Sanjaykumar G. Tambe

doi:10.18203/2320-1770.ijrcog20242087

Authors

Ishaan S. Pandore Department of Obstetrics and Gynecology, B. J. Govt. Medical College Pune, Maharashtra, India
Sanjaykumar G. Tambe Department of Obstetrics and Gynecology, B. J. Govt. Medical College Pune, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20242087

Keywords:

Cervical fibroid, DJ stenting, Hysterectomy, Uterine artery embolization

Abstract

Cervical fibroids are very rare accounting for 2% of all uterine fibroids. We report the case of a 48-year P4L4 with a large posterior wall cervical fibroid with a history of CVA and DVT of upper limb. Non-surgical interventional modalities like UAE were explored as a stop gap procedure. There was minimal reduction in size of mass after UAE but significant reduction in dysmenorrhoea and menorrhagia. Medical optimization of patient was achieved before definitive surgical intervention. D-J stenting of the ureters was done to prevent any injury.

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