Huge Cervical Fibroid & Its Association with Bilateral Ovarian Vein Thrombosis - A Rare Case Report

Sneha Sethy; Vilasrao N Kurude

Volume : VI, Issue : VIII, August - 2017

Huge Cervical Fibroid & Its Association with Bilateral Ovarian Vein Thrombosis - A Rare Case Report

Sneha Sethy, Vilasrao N Kurude

Abstract :

Cervical fioids account for 2% of all fioids. They are classified as anterior, posterior, lateral , central. A central cervical fioid usually arises from supra vaginal portions of the cervix so that it expands the cervix equally in all directions & displaces uterine vessels & ureters. On laparatomy it can be recognised at once, as it fills the pelvis , with uterus on top of tumor like � the Lantern on top of St. Pauls Cathedral � . A 42 yr old, para 2 living 2, tubectomised woman reported at GOPD with the complaints of increased amount of bleeding per vaginum since 4-5 months. General , systemic examinations were normal. Per abdominal examination revealed mass of size 22 weeks, firm, mobile. On per speculum examination cervix was not visualised clearly, mass was seen protruding through vagina. On per vaginal examination mass of size 22 weeks felt, cervix bulky mobility restricted, uterus not felt separately , fullness in all fornices. On USG (A+P) – uterus 8 x 10 x 12 cm, ante verted , large heterogeneous lesion of size 15 x 8.7 x 12.7 cm noted in uterus. Other investigations were within normal limit- CBC ,LFT, RFT, urine, thyroid profile, BT, CT, PT, INR, aPTT, HIV, HBV. She was advised abdominal hysterectomy. Intra operative findings - large mass of size 15 x 10 x 12 cm was seen occupying the pelvis with normal uterus perched on top with typical appearance of Lantern on top of St Pauls Cathedral appearance. The fioid along with uterus , bilateral tubes, left ovary was removed. HPR confirmed the diagnosis of fioid.