A huge cervical fibroid with infertility: Case report

Leiomyomas are the most common uterine and pelvic tumors. Cervical fibroids are uncommon (1-2%) and their presentation as huge abdominal mass is even rarer. We present here a case of a 30 year old female who presented with abdominal mass and primary infertility. Abdominal examination revealed a nontender, solid mass of 24 weeks size filling the abdominal cavity with restricted mobility. Lower border of the mass could not be felt. Laprotomy was planned. Laprotomy revealed fibroid arising from supravaginal portion of the cervix displacing the normal sized uterus superiorly. Myomectomy was done with reconstruction of cervical canal. Postoperative period was uneventful. Patient resumed her menses after 1 month.