Prolapsed Submucous Uterine Fibroid with Associated Uterovaginal Prolapse: A Case Report.
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Date
2014
Authors
Babah, O.A.
Afolabi, B.B.
Ayanbode, O.
Atoki, A.
Okafor, O.
Journal Title
Journal ISSN
Volume Title
Publisher
IOSR Journal of Dental and Medical Sciences
Abstract
Prolapsed submucous uterine myoma occurring in association with uterovaginal prolapse is a rare gynaecological condition. When ulcerated, it may give an appearance that mimicks a malignant mass giving a sinister picture despite its benign nature. Only a few cases of prolapsed myoma has been reported, majority of which occurred in association with chronic non-puerperal uterine inversion. A few others were associated with urethrovaginal fistula and intermittent acute urinary retention. Case: We present here, another rare case associated with uterovaginal prolapse. Mrs I.R. presented with a prolapsed submucous fibroid which appeared as a fungating ulcerated mass associated with a third degree uterovaginal prolapse. This finding together with the history of chronic weight loss she presented with, gave a false impression of a malignant tumour as a possible differential diagnosis. She had a polypectomy, followed by vaginal hysterectomy and bilateral salpingo-oophorectomy. Histopathology confirmed the mass to be a necrotic submucous leiomyoma. Conclusion: It is thus important to have a prolapsed uterine fibroid as a differential whenever a mass protruding from the vagina is found in association with uterovaginal prolapse.
Description
Keywords
Prolapsed myoma , Uterovaginal prolapse
Citation
Babah OA, Afolabi BB, Ayanbode O, Atoki A, Okafor O. Prolapsed Submucous Uterine Fibroid with Associated Uterovaginal Prolapse: A Case Report. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853 p-ISSN: 2279-0861. 2014; 13:64-67.