Prolapsed Giant Cervical Fibroid Polyp

Abstract

ABSTRACT Giant cervical fibroid polyps causing diagnostic dilemma are rarely encountered in gynecologic practice. The objective of this case report is to document a case of huge cervical polyp large enough to cause prolapse of the otherwise normal uterus and cervix. A 35 years old multipara presented with heaviness in the vagina, pain in lower abdomen for 2 years and something coming out per vaginum, off and on vaginal bleeding and foul smelling discharge for 1 week. On local examination, grossly hypertrophied cervix was seen prolapsed outside the introitus and a large mass about 20 × 18 cm apparently arising from the posterior lip of the cervix. On per rectal examination, uterus was atrophied. Pap smear and showed only inflammatory changes with no evidence of malignancy. After four blood transfusion and control of local infection with systemic antibiotic, patient was taken for surgery. Postoperative recovery was uneventful histopathological report confirmed fibroid-polyp. Although giant cervical fibroid is rare, it may masquerade as neglected 3rd degree uterovaginal prolapse or massive enterocele as in our case. Proper evaluation is needed to make an accurate diagnosis, anticipate operative challenges and strike a judicious and rational approach about deciding the route of hysterectomy. How to cite this article Agarwal M, Singh S, Agarwal R, Jaiswal S. Prolapsed Giant Cervical Fibroid Polyp. J South Asian Feder Obst Gynae 2016;8(1):77-78.