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


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


  1. Parker WH. “Etiology, symptomatology, and diagnosis of uterine myomas”. Fertility and Sterility 4 (2007): 725-736.
  2. Pritts EA., et al. “Outcome of occult uterine leiomyosarcoma after surgery for presumed uterine fibroids: A systematic review”. Journal of Minimally Invasive Gynecology 1 (2015): 26-33.
  3. Afifi K., et al. “Vaginal discharge: an unusual presentation of degenerated uterine fibroid”. Journal of Obstetrics and Gynaecology 1 (2010): 69-70.
  4. Mayer DP and Shipilov V. “Ultrasonography and magnetic resonance imaging of uterine fibroids”. Obstetrics and Gynecology Clinics of North America 4 (1995): 667-725.
  5. Wladimiroff J. “Uterine fibroids”. In: Ultrasound in obstetrics and gynaecology. Elsevier (2009): 303-306.
  6. Surana AD., et al. “Huge fibroid polyp: a case report”. Scholars Journal of Medical Case Reports 2 (2014): 78-79.
  7. Kshirsagar SN and Laddad MM. “Unusual presentation of cervical fibroid: two case reports”. Indian Journal of Plastic Surgery Association of Plastic Surgeons 1 (2011): 38-39.
  8. Redecha M., et al. “Myoma expulsion after uterine artery embolization”. Archives of Gynecology and Obstetrics 280 (2009): 1023-1024.
  9. Hehenkamp WJ., et al. “Myoma expulsion after uterine artery embolization: complication or cure?” American Journal of Obstetrics and Gynecology 191 (2004): 1713-1715.
  10. Marret H., et al. “Late leiomyoma expulsion after uterine artery embolization”. Journal Vase Hit Radiology 15 (2004): 1483-1485.
  11. Murakami T., et al. “Sloughing off of a cervical myoma after cesarean section: a case report”. The Journal of Reproductive Medicine 52 (2007): 962-964.
Citation: Shagufta Rafiq., et al. “Spontaneous Expulsion of Degenerated Uterine Fibroid Following Delivery, a Rare Case Presentation”. EC Gynaecology 9.10 (2020): 34-40.

PubMed Indexed Article

EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005

EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777

EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347

EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478

EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253

EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033

EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992

EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505

EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793

EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211

EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047

EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560

EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318

EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819

EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840

EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344

EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476

EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658

EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489

EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278

EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108

EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571

EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333

EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883

EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001

EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937

EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723

EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726

EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603

EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646

EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616

EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290

EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226

EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812

EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268

News and Events

February Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the February issue of respective journals and the latest articles can be viewed on the current issue pages.

Submission Deadline for Upcoming Issue

ECronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the upcoming issue of respective journals. Submissions are accepted on/before February 21, 2023.

Certificate of Publication

ECronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

ECronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.