Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Nov 1:10:2050313X221135596.
doi: 10.1177/2050313X221135596. eCollection 2022.

Vaginal prolapse of a large uterine cervical leiomyoma complicated with cervical inversion: A case report of an extremely rare entity with review of the literature

Dact Chandrasiri  1 , B M Munasinghe  1 , E J Pushpakanthan  2 , Jbu Jayasinghe  3 , R D Nissankaarachchi  4
Affiliations
Case Reports

Vaginal prolapse of a large uterine cervical leiomyoma complicated with cervical inversion: A case report of an extremely rare entity with review of the literature

Dact Chandrasiri et al. SAGE Open Med Case Rep. .

Abstract

Cervical leiomyoma is a relatively uncommon type of uterine leiomyoma. Prolapse of a cervical leiomyoma with inversion of the cervix is an extremely rare phenomenon, especially in a non-puerperal woman. Only a handful of cases are reported in the English literature. The case discussed here is of a vaginal prolapse of a submucous cervical fibroid complicated by cervical inversion in a South Asian perimenopausal woman with multiple comorbidities who had defaulted medical follow-up during the second wave of the COVID-19 pandemic. Being one of the largest reported cervical fibroids to date is another particularity of this case. Emphasis is given to the clinical diagnostic, anaesthetic, and surgical challenges encountered with a brief note on the impact of COVID-19 on outpatient clinic follow-up.

Keywords: COVID-19; Cervical fibroids; cervical inversion; myomectomy; prolapsed fibroid.

PubMed Disclaimer

Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Prolapsed cervical leiomyoma impacted at the vaginal introitus. (a) The degenerative changes of the tumour at the apical segment.
Figure 2.
Figure 2.
Resected leiomyoma.
Figure 3.
Figure 3.
The resected myoma and the uterus: (a) resected cervical myoma, (b) uterus, and (c) uterine cervix. Note the altered architecture of the uterine cervix.
Figure 4.
Figure 4.
Abdominal approach for the hysterectomy and salpingectomy.
Figure 5.
Figure 5.
(a) Interlacing fascicles of smooth muscle bundles (H&E, ×10) and (b) spindle cells with bland nuclei in myxoid stroma (H&E, ×40).
See this image and copyright information in PMC

References

    1. Latif F, John A, Ali A, et al. Frequency of uterine leiomyomas in multipara women: frequency of uterine leiomyomas in multipara women. Pak J Health Sci 2022; 3: 51–54.
    1. Gupta S, Manyonda IT. Acute complications of fibroids. Best Pract Res Clin Obstet Gynaecol 2009; 23(5): 609–617. - PubMed
    1. Munusamy MM, Sheelaa WG, Lakshmi VP. Clinical presentation and prevalence of uterine fibroids: a 3-year study in 3-decade rural South Indian women. Int J Reprod Contracep Obstetr Gynecol 2017; 6(12): 5596–5602.
    1. Turhan N, Simavli S, Kaygusuz I, et al. inverted cervix due to a huge prolapsed cervical myoma simulating chronic non-puerperal uterine inversion. Int J Surg Case Rep 2014; 5(8): 513–515. - PMC - PubMed
    1. Ferrari F, Forte S, Valenti G, et al. Current treatment options for cervical leiomyomas: a systematic review of literature. Medicina 2021; 57(2): 92. - PMC - PubMed

Publication types

LinkOut - more resources