This was a case of a 42year-old nulipara female who presented to a private specialist hospital in Enugu because of unusual but gradual abdominal distension. Her ultrasound diagnosis was of extensive intramural and subserosal myoma. Abdominal swelling was initially noticed around the lower abdomen but progressively increased in size involving the upper abdomen, that she later found it diffi cult to wear her regular clothes and move around easily. There was associated constipation, but no nausea, vomiting or loss of appetite was reported. There was weight loss but no yellowish discoloration of eyes or urinary symptoms. There were no associated leg swelling, menstrual disorders, abnormal vaginal discharge or fever. The abdomen was grossly distended with masses arising from the pelvis that was about similar size of a 46-weeks pregnant woman. The masses were fi rm, nodular, mobile and non-tender with irregular outlines. There was no demonstrable ascites. Figure 1 below shows the patient's grossly distended abdomen before the surgery. An abdominopelvic ultrasound was performed and reported multiple, large uterine masses of varying sizes and shapes. These masses had