Cervical fibroid: an uncommon presentation
Fibroids arising from cervix are rare tumours accounting for 2% of all fibroids. A cervical leiomyoma is commonly single and is either interstitial or subserous, rarely it becomes submucous and polypoidal. Anterior cervical fibroid may press on urinary bladder and urethra and displace the urethro-vesical junction giving rise to urinary frequency and retention. Management of symptomatic cervical fibroid is hysterectomy or myomectomy and need an expert hand. Here we report a case of huge anterior cervical fibroid of 15x15x7cm with an unusual presentation of menorrhagia of only 2 days and no urinary symptoms. Inspite of the fibroid being huge and impacted, hysterectomy was done successfully without any injury to bladder and ureters.
Tiltman, Andrew J. Leiomyomas of the uterine cervix: A study of frequency. Int J Gynecol Pathol. 1998;17(3):231-4.
Kshirasagar SN, Laddad MM. Unusual Presentation of Cervical Fibroid: Two case reports. Int J Gynecol Plastic Surg. 2011;3(1):38-9.
Singh S, Chaudhary P. Central cervical fibroid mimicking as chronic uterine inversion, Int J Reprod contracept Obstet Gynnaecol. 2013;2(4):687-88.
Basnet N, Banerjee B, Badani U, Tiwari A, Raina A ,Pokhari H, et al. An unusual presentation of huge cervical fibroid. K Koirala Institute of Health sciences, Kathmandu University Medic J. 2005;3(2):173-4.
Lethaby A, Vollenhoven B, Sowter M. Efficacy of pre-operative gonadotrophin hormone releasing analogue for women with uterine fibroids undergoing hysterectomy or myomectomy: a systematic review. BJOG. 2002;109;1097-108.
Dutta DC, Konar H. Text Book of Gynaecology.New Central Book Agency. 2012, 6th edition: p 271.