Prolapsed Submucous Uterine Fibroid with Associated Uterovaginal Prolapse: A Case Report.
IOSR Journal of Dental and Medical Sciences
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.
Prolapsed myoma , Uterovaginal prolapse
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.