Central cervical fibroid with a typical Lantern on top of St. Paul’s cathedral appearance

Ambarisha Bhandiwad; Surakshith L. Gowda; Anupama N. K.

doi:10.18203/2320-1770.ijrcog20160615

Authors

Ambarisha Bhandiwad Department of Obstetrics and Gynaecology, JSS Medical College, JSS University, Mysore, Karnataka, India
Surakshith L. Gowda Department of Obstetrics and Gynaecology, JSS Medical College, JSS University, Mysore, Karnataka, India
Anupama N. K. Department of Obstetrics and Gynaecology, JSS Medical College, JSS University, Mysore, Karnataka, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20160615

Keywords:

Fibroid uterus, Cervical fibroid, Retention of urine, Mass per abdomen

Abstract

Leiomyoma of the uterus in one of the common benign gynecological conditions and one of the rare locations of a fibroid is from the cervix with an incidence of upto 2%. We are reporting a case of a 46 year old patient who came with complaints of mass per abdomen and with a history of retention of urine twice in the past one and half months. Abdominal examination revealed a firm mass of 24 weeks size gravid uterus with restricted mobility arising from the pelvis and a speculum examination, showed a mass protruding through the vagina with all the walls ballooned out and it appeared as if a head of the baby was protruding out in second stage of labor. It was a 1.9kg central cervical fibroid with a typical "Lantern on top of St. Paul’s cathedral" appearance which was operated without any complications.

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References

Shinde GR, Khot NKP, Gupta A. Unusual presentation of cervical fibroids: Case report of two cases. International Journal of Recent Trends in Science and Technology. 2015;15(3):515-7.

Chaithra TM, Lokeshchandra HC, Bhavani SY. A huge cervical fibroid causing uterovaginal prolapse – An unusual presentation, diagnostic dilemma and an operative challenge Int J Med Res Health Sci. 2014;3(3):770-3.

Jayashree V, Mahjabeen B, Thariq IA. A case of huge cervical fibroid with characteristic “Lantern on St. Paul’s Cathedral” appearance. Indian Journal of Basic and Applied Medical Research. 2015;4,3:455-8.

SK Geetha, K Saraswathi, S Nirupa. A Rare Case of Impacted Huge Cervical Fibroid Delivered Using a Blade of Obstetric Outlet Forceps. 2015;6(3):148- 51.

Samal SK, Rathod S, Rajsekaran A, Rani R. An unusual presentation of central cervical fibroid: a case report. Int J Res Med Sci. 2014;2(3):1226-8.

Kavitha B, Jyothi R, Rama Devi A, Madhuri K, Sachin Avinash K, SGK Murthy. A rare case of central cervical fibroid with characteristic “Lantern on top of ST.PAUL” appearance. Int J Res Dev Health. 2014;2(1):45-7.

Singh S, Chaudhary P. Central cervical fibroid mimicking as chronic uterine inversion: a case report. Int J Reprod Contracept Obstet Gynecol. 2013;2(4):687-8.