Publication:

Giant cervical leiomyoma presenting as severe abnormal uterine bleeding and symptomatic anaemia in a perimenopausal woman: a case report

Cervical leiomyoma is a rare benign smooth muscle tumor arising from the uterine cervix, accounting for less than 5% of all uterine fibroids. Large cervical myomas may cause abnormal uterine bleeding, pelvic pressure symptoms, urinary complaints, and operative difficulties due to distortion of adjacent pelvic anatomy. Cervical leiomyoma is a rare benign smooth muscle tumor arising from the uterine cervix, accounting for less than 5% of all uterine fibroids. Large cervical myomas may cause abnormal uterine bleeding, pelvic pressure symptoms, urinary complaints, and operative difficulties due to distortion of adjacent pelvic anatomy. A 52-year-old multiparous woman was referred with recurrent heavy vaginal bleeding for three months, worsening over the preceding ten days with passage of blood clots. She developed symptomatic anemia requiring blood transfusion. Pelvic examination revealed a large smooth mass occupying the vaginal canal arising from the cervix. Ultrasonography demonstrated a well-defined cervical mass measuring 9.12×7.38×8.11 cm. The patient underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy. Giant cervical leiomyoma should be considered in women presenting with severe abnormal uterine bleeding and a cervical mass. Proper diagnosis and definitive surgical management are essential for favorable outcomes.