DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20161711

Huge myxoid leiomyoma of cervix presenting as irreducible prolapse- management by vaginal myomectomy

Archana Mishra, Sunita Malik, Kavita Agarwal, Sufian Zaheer, Akriti Gautam

Abstract


Cervical leiomyoma consists 1-2% of all leiomyoma and myxoid degeneration of cervical fibroid is very rare. We present an old neglected case of huge necrotic cervical leiomyoma presenting with prolapse of mass and pelvic organs in a woman with multiple co-morbidities. Early management was necessary for improving her quality of life and controlling blood sugar. In lack of fitness for anaesthesia we performed her vaginal myomectomy under Intravenous Sedation. Prolapse was reducible and in absence of septic foci blood sugar profile improved. Vaginal myomectomy is a safe and quick procedure with least surgical morbidity and should be considered in cervical fibroids.

Keywords


Cervical leiomyoma, Myxoid degeneration, Prolapse, Vaginal myomectomy

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References


Drinville JS, Memarzadeh S. Benign disorders of the uterine corpus. In: DeCherney AH, Nathan L, editors. Current obstetrics and gynaecologic diagnosis and treatment. 10th ed. New York: Lange McGraw Hill; 2007:639-53.

Tavassoli FA, Norris HJ. Smooth muscle tumors of the vulva. Obstet Gynecol. 1979;53(2):213-7.

Kamra HT, Dantkale S, Birla K, Sakinlawar P, Narkhede R. Myxoid leiomyoma of cervix. J Clin Diagn Res. 2013;7(12):2956-7.

Ikechebelu JI, Eleje GU, Okpala BC, Onyiaorah IV, Umeobika JC, Onyegbule OA, et al. Vaginal myomectomy of a prolapsed gangrenous cervical leiomyoma. Niger J Clin Pract. 2012;15(3):358-60.

Khan AM, Seraphim A. Prolapse of large necrotic cervical fibroid. J Obstet Gynaecol. 2011;31(7):671.

Suneja A, Taneja A, Guleria K, Yadav P, Agarwal N. Incarcerated procidentia due to cervical fibroid: an unusual presentation. Aust N Z J Obstet Gynaecol. 2003;43(3):252-3.

Straub HL, Chohan L, Kilpatrick CC. Cervical and prolapsed submucosal leiomyomas complicating pregnancy.Obstet Gynecol Surv. 2010;65(9):583-90.

Golan A, Zachalka N, Lurie S, Sagiv R, Glezerman M. Vaginal removal of prolapsed pedunculated submucous myoma: a short, simple, and definitive procedure with minimal morbidity. Arch Gynecol Obstet. 2005;271:11-3.

Ben-Baruch G, Schiff E, Menashe Y, Menczer J. Immediate and late outcome of vaginal myomectomy for prolapsed pedunculated submucous myoma. Obstet Gynecol. 1988;72:858-61.

Khalil AM, Azar GB, Kaspar HG, Abu-Musa AA, Chararah IR, Seoud MA. Giant cervical polyp. A case report. J Reprod Med. 1996;41(8):619-21.




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