Case Report
Volume 9 Issue 10 - 2020
Spontaneous Expulsion of Degenerated Uterine Fibroid Following Delivery, a Rare Case Presentation
Shagufta Rafiq1*, Samia Azad1, Madan Lal1, Ibrahim Abbasher2 and Trevor Hayes3
1Registrar Obs/Gyn, St. Luke’s General Hospital, Kilkenny, Ireland
2St. Luke’s General Hospital, Kilkenny, Ireland
3Consultant Obstetrician and Gynaecologist, Head of the Department and Clinical Lead, St. Luke’s General Hospital, Kilkenny, Ireland
*Corresponding Author: Shagufta Rafiq, Registrar Obs/Gyn, St. Luke’s General Hospital, Kilkenny, Ireland.
Received: August 13, 2020; Published: September 30, 2020




Abstract

The most frequent benign tumors in females are fibroids or leiomyomata. These tumors arise usually from the smooth muscle layer of the uterus. Their size can range from as small as a seed to exceptionally huge. Our patient is a 36 years old lady, P1 with previous SVD who was booked at 12 weeks of pregnancy and was known to have a fibroid uterus. She had followed regularly in pregnancy, had and unremarkable pregnancy and was delivery by kiwi cup. She presents with irregular bleeding per vagina at 4 weeks after delivery. She was known to have uterine fibroid before pregnancy. We did not have more details as she does not have previous ultrasound reports that was done outside the country. The patient reported abdominal pain and passage of clots off and on along pinkish vaginal discharge for 1 week. On speculum examination there was a smooth round-shaped mass extruding out the cervix into the vagina. The vagina was almost filled with the protruding pinkish pale mass that was freely mobile and non-tender to touch. She was admitted to the ward. The plan of management was discussed with her. Her bloods and vaginal swab was taken, was given antibiotic cover and was kept on surgical list for the next day after 24 hours of antibiotic cover. She had examination under anaesthesia and partial removal of the mass and sample was sent of histology. She stayed in hospital for two days, remained stable and was discharged on third day in stable condition. Histology showed a fibroid (leiomyoma) with no evidence of malignancy. Her repeat USG pelvis after six weeks showed myoma regression in size to 20 mm x 22 mm x 22 mm.

Keywords: Uterine Fibroid; Leiomyoma; Cervix; Vagina

References

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Citation: Shagufta Rafiq., et al. “Spontaneous Expulsion of Degenerated Uterine Fibroid Following Delivery, a Rare Case Presentation”. EC Gynaecology 9.10 (2020): 34-40.

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