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Giant Cervical Fibroid: A Surgical Challenge
Anshu Mujalda1, Tajinder Kaur1, Disha Jindal1
1Obstetrics and Gynaecology, Maharshi Markandeshwar Institute of Medical Sciences & Research (MMIMSR), Ambala, IND.
Cureus
|June 29, 2023
Summary
Cervical uterine myomas are rare fibroids. Surgical removal is challenging but can be managed with careful techniques to avoid complications like ureteral injury.
Area of Science:
- Gynecology
- Surgical Oncology
Background:
- Cervical leiomyomas, a rare subtype of uterine fibroids (0.6% incidence), present unique surgical challenges due to their location.
- These fibroids can be classified as extra-cervical or intra-cervical and further by position (anterior, posterior, lateral, central).
Observation:
- A 46-year-old female presented with abdominal pain and distension.
- Contrast-enhanced MRI revealed a giant cervical myoma.
Findings:
- Surgical enucleation of the giant cervical myoma was performed, followed by total abdominal hysterectomy and bilateral salpingectomy.
- Key surgical strategies to prevent ureteral injury include preoperative ureteral stenting, intraoperative ureteral identification, and dissection within the fibroid capsule.
Implications:
- This case highlights the successful management of a rare giant cervical myoma.
- Emphasizes the importance of meticulous surgical planning and execution to minimize risks associated with cervical leiomyoma surgery, particularly ureteral injury.
