1 Browse NL, Whimster I, Stewart G, Helm CW, Wood JJ. Surgical management of 'lymphangioma circumcriptum'. Br J Surg. 1986 Jul; 73 (7): 585-588. 2 Fox T, Fox TC. On the case of lymphangiectodes with an account of the histology of the growth. Trans Path Soc, London. 1978; 30: 470-475. 3 Morris M. Lymphangioma circumscriptum. In: Unna PG, Morris M, Duhring LA, Leloir H, editors. International atlas of rare skin diseases. London; HK Lewis: 2. 4 Peachey RD, Lim CC, Whimster IW. Lymphangioma of the skin. A review of 65 cases.

Leiomyomas are the most common uterine and pelvic tumors. The usual anatomical location is the uterus. Cervical leiomyomas are uncommon (1-2%) [1] and present as huge abdominal mass. We report a case of a 30 year old female who presented with abdominal pain and menorrhagia over 1 year. Abdominal examination revealed a non-tender, solid mass of 24 weeks size pregnant uterus filling the abdominal cavity with restricted mobility. Lower border of the mass could not be felt. Vaginal route for hysterectomy could not be accessed as posterior pouch could not be reached. On laparotomy, uterus was pushed upward up to umbilicus and uterus was sitting on the top of the fibroid. Fibroid was posterior to cervix and lower uterine segment. Cervical fibroid was removed by enucleation and total abdominal hysterectomy with right salpingo-ophorectomy. Histopathological examination showed a cervical fibroid with hyaline and cystic degeneration. Patient had an uneventful post-operative recovery.

Computer skills are an essential part of every field, including medicine. However, training in computers is limited mainly to clerical and paramedical staff. We conducted this questionnaire survey to assess the extent of training and the opinion of trainee doctors in obstetrics and gynaecology in Wales. The results showed that the computer skills among these doctors was low and the majority of them agreed that there was a need for training in computer skills to assist them in their career progress. In view of the findings of this survey, we feel that incorporation of computer skills courses in the training curriculum must be of benefit.