Management of uterine fibroids is common in day today practice of gynaecologists, but a large haemorrhagic leiomyoma with axial torsion of uterus is a rare occurrence. We report a case of 52-year old female presented with abdominal distension and pain. An enlarged twisted haemorrhagic uterus was identified at laparotomy which was successfully removed. Histopathological examination showed a benign leiomyoma with focal congestion. The patient had an uneventful postoperative recovery.

Although the management of ovarian tumours is a common occurrence worldwide, management of a large granulosa cell tumour (GCT) of the ovary with concurrent endometrial cancer is relatively uncommon. We report a successful management of a case of large granulosa cell tumour with endometrial cancer in District General Hospital, Nuwara Eliya.

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Management of ectopic pregnancies are a relatively common occurrence in day to day practice of a general gynaecologist, but spontaneous bilateral tubal ectopic pregnancy is a rare occurrence worldwide. We report successful management of a case of spontaneous bilateral tubal ectopic pregnancy in the