European Journal of Biomedical and Pharmaceutical Sciences

CERVICAL LEIOMYOMA: A CASE REPORT

Dr. Shikha Sharma, *Dr. Akshay Sharma, Dr. Gagan Acharya and Dr. Anupam Sharma

ABSTRACT

Leiomyoma are most common tumors of uterus, usually presenting in the reproductive age group. However, only 1-2% fibroids are confined to cervix. Cervical leiomyoma is mostly single and are sub serous or interstitial in origin. They arise either from supravaginal or vaginal portion of cervix. We report a case of 42 year old female with complaint of heaviness in pelvic region and pelvic pain and was diagnosed with cervical fibroid . She had a firm, non-tender mass of 12-14 weeks size pregnant uterus with restricted mobility. Laparotomy showed a large mass arising from the posterior lip of cervix. Total abdominal hysterectomy was done. Large cervical fibroids are rare, presenting with surgical difficulties underwent enucleation followed by total abdominal hysterectomy. We conclude that cervical fibroids are a challenge to the gynaecologist due to close proximity to the ureter and bladder. Careful dissection is needed in the management of such cases.

Keywords: Leiomyoma; Cervical fibroid; laparotomy; Total abdominal hysterectomy.