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

Author:

Chandrasiri DACT1ORCID,Munasinghe BM1ORCID,Pushpakanthan EJ2,Jayasinghe JBU3,Nissankaarachchi RD4

Affiliation:

1. Department of Anaesthesiology and Intensive Care, District General Hospital, Mannar, Sri Lanka

2. Department of Gynaecology and Obstetrics, District General Hospital, Mannar, Sri Lanka

3. Department of Histopathology, District General Hospital, Mannar, Sri Lanka

4. Department of Neuro-Anaesthesia, National Hospital, Colombo, Sri Lanka

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.

Publisher

SAGE Publications

Subject

General Medicine

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