SURGICAL STEPS FOR HYSTERECTOMY IN A LARGE CERVICAL FIBROID: A RARE CASE REPORT
*Dr. Sneha Trivedi, Dr Nishat Fatima, Dr. Sameer Darawade and Dr. Roshni Alam
ABSTRACT
Although leiomyomas are the most common pelvic tumours presenting in the reproductive age group, cervical fibroids are rare accounting for 2% of all uterine fibroids. We report a case of 48 year old lady presenting with heavy menstrual bleeding and severe anaemia due to a firm, non-tender mass of 36 weeks size globular uterus with restricted mobility. Laparotomy showed a large mass arising from the anterior lip of cervix, with a small uterus pushed superiorly. Enucleation followed by total abdominal hysterectomy was done. Large cervical fibroids present with surgical difficulties. Careful dissection by expert hands is needed in the management of such cases.
Keywords: Enucleation, Laparotomy, Large cervical fibroid, internal iliac ligation.
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