[Diagnostic image (20). Prolapsed submucous fibromyoma]

Area of Science:

• Gynecology
• Reproductive Medicine
• Surgical Pathology

Background:

• Uterine fibroids (leiomyomas) are common benign smooth muscle tumors.
• Submucous fibroids protrude into the uterine cavity, potentially causing abnormal uterine bleeding and pain.
• Spontaneous expulsion of fibroids is an uncommon but recognized clinical phenomenon.

Observation:

• A 48-year-old woman presented with acute, severe lower abdominal pain.
• Imaging and clinical examination revealed a submucous fibroid undergoing spontaneous partial delivery.
• The fibroid was partially extruded from the cervix.

Findings:

• Diagnosis of spontaneous partial delivery of a submucous fibroid.
• The fibroid's location and size contributed to the acute pain presentation.
• Confirmation of the fibroid's submucous origin and its expulsion pathway.

Implications:

• This case underscores the importance of considering fibroid expulsion in the differential diagnosis of acute abdominal pain in women.
• Management strategies may involve conservative observation or surgical intervention depending on symptoms and fibroid characteristics.
• Understanding the mechanisms of spontaneous fibroid delivery can inform clinical decision-making and patient counseling.