Cervical elongation caused by big cervical fibroid resembling malignant cervical prolapse? Management via vaginal surgery

Moegni, Fernandi; Hakim, Surahman; Hidayah, Gita Nurul; Suskhan,; Priyatini, Tyas; Meutia, Alfa Putri; Santoso, Budi

doi:10.1016/j.ijscr.2021.105847

Cited by 3 publications

(1 citation statement)

References 9 publications

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“…However, their median fibroid diameter was 7 cm, while our case had a 21 × 17 cm fibroid. Another report vaginally managed a case with protruded cervical fibroids and elongated cervices with the Manchester procedure [ 12 ]. However, our case had normal cervical length and pedunculated subserous fibroids.…”

Section: Discussionmentioning

confidence: 99%

Selecting the best surgical approach in various cases of prolapsed pedunculated submucosal fibroids: A case series

Hidayah,

Harzif,

Noviani

et al. 2023

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Selecting the best surgical approach in various cases of prolapsed pedunculated submucosal fibroids: A case series

Hidayah,

Harzif,

Noviani

et al. 2023

International Journal of Surgery Case Reports

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A systematic review of uterine cervical elongation and meta-analysis of Manchester repair

Güler Çekiç,

Aktoz,

Urman

et al. 2024

European Journal of Obstetrics & Gynecology and Reproductiv

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Surgical Treatment of Enlarged Cervical Leiomyoma with Concomitant Uterine Prolapse: A Case Report

Song,

Bae,

Park

et al. 2024

JCM

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This case report details the surgical treatment of a rare enlarged cervical leiomyoma with uterine prolapse in a 48-year-old woman. She presented to Konyang University Hospital with a palpable vaginal mass, lower abdominal pain, and urinary incontinence. Despite being nulliparous, she had severe chronic constipation due to schizophrenia medication and lived in a health care facility separated from her family. Pelvic examination revealed stage 3 uterine prolapse with a large necrotic cervical leiomyoma. A robot-assisted vaginal hysterectomy followed by sacrocolpopexy was performed using the Da Vinci Xi Surgical System. Histopathology confirmed cervical leiomyoma with squamous metaplasia. At a three-month follow-up, there were no complications, pelvic anatomy was restored, and urinary incontinence improved. Although the patient had a systemic infection due to the necrotic cervical leiomyoma, raising concerns about the increased risk of infection associated with mesh use, she was high-risk for pelvic organ prolapse (POP) recurrence due to her medical history and living situation. Therefore, she underwent concurrent surgeries with pre- and postoperative antibiotic treatment, and recovered without complications. Given that the risk of developing POP increases after a hysterectomy, in high-risk patients, as demonstrated in this case, the concurrent surgical correction of POP may be an effective strategy.

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Cervical elongation caused by big cervical fibroid resembling malignant cervical prolapse? Management via vaginal surgery

Abstract: Highlights Cervical fibroids mass could lead to cervical elongation. In a rare case, the protruded vaginal mass could resemble malignancy. We present two of the rare cases.

Cited by 3 publications

References 9 publications

Selecting the best surgical approach in various cases of prolapsed pedunculated submucosal fibroids: A case series

Selecting the best surgical approach in various cases of prolapsed pedunculated submucosal fibroids: A case series

A systematic review of uterine cervical elongation and meta-analysis of Manchester repair

Surgical Treatment of Enlarged Cervical Leiomyoma with Concomitant Uterine Prolapse: A Case Report

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