Large cervical leiomyoma: An experience from Sudan


Submitted: 9 September 2021
Accepted: 8 April 2022
Published: 12 May 2022
Abstract Views: 1201
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Authors

Cervical leiomyomas - even small ones - are extremely uncommon. Two consecutive cases of very large cervical leiomyomas in young women came to our attention during the summer 2018 in Sudan. Both women presented with symptoms of heaviness/discomfort in the lower abdominal region and signs of anemia. Their management and surgical therapy are outlined.


Baillie M. The morbid anatomy of some of the most important parts of the human body. London, F Johnson & G Nicol; 1793.

Baillie M. A series of engravings accompanied with explanations which are intended to illustrate the morbid anatomy of some of the most important parts of the human body. London, W Bulmer & Co; 1799.

Sparic R, Mirkovic L, Malvasi A, Tinelli A. Epidemiology of uterine myomas: a review. Int J Fertil Steril 2016;9:424-35.

Singh S, Chaudhary P. Central cervical fibroid mimicking as chronic uterine inversion: a case report. Int J Reprod Contracept Obstet Gynecol 2013;2:687-8.

Cramer SF, Patel A The frequency of uterine leiomyomas. Am J Clin Path 1990;94:435-8.

Tiltman AJ. Leiomyomas of the uterine cervix: a study of frequency. Int J Gyn Path 1998;17:231-4.

Kavitha B, Jyothi R, Devi AR, Madhuri K et al. A rare case of central cervical fibroid with characteristic „Lantern on top of St. Paul“ appearance Int J Res Dev Health 2014;2:45-7.

Hiramatsu Y. Hysterectomy for cervical and intraligamental fibroids Surg J 2020;6:S2-S10.

de Barros Lopes A, Spirtos NM, Hilton P, Monaghan JM. Operations on the uterus Chap 11 In: de Barros Lopes A, Spirtos NM, Hilton P, Monaghan JM, editors. Bonney’s gynaecological surgery 12th ed. John Wiley &Sons Ltd; 2018 p.107-25.

Marshall LM, Spiegelman D, Barbieri RL, et al. Variations in the incidence of uterine leiomyoma among premenopausal women by age and race. Obstet Gyn 1997;90:967-73.

Stewart EA, Cookson CL, Gnadolfo RA, Schulze-Rath R. Epidemiology of uterine fibroids: a systematic review. Br J Obstet Gynecol 2017;124:1501-12.

Chopra K, Dutta D, Jain K. Management of giant cervical fibroid by “hybrid technique”. Obstet Gynecol Res 2018;1:65-7.

Sharma S, Pathak N, Goraya SPS, et al. Large cervical fibroid mimicking an ovarian tumour. Sri Lanka J Obstet Gynaecol 2011;33:26-7.

Nakayama K, Tsukao M, Ishikawa M, et al. Total laparoscopic hysterectomy for large uterine cervical myoma. Mol Clin Oncol 2017; 6: 6555-60.

Kamra HT, Dantkale SS, Birla K, et al. Myxoid leiomyoma of cervix. J Clin Diag Res 2013;7:2956-7.

Keriakos R, Maher M. Management of Cervical Fibroid during the Reproductive Period. Case Rep Obstet Gynecol 2013;2013:984030.

Wong J, Tan GHC, Nadarajah R, Teo M. Novel management of a giant cervical myoma in a premenopausal patient. BMJ Case Rep 2017;2017:bcr2017221408.

Ferrari F, Forte S, Valenti G, et al. Current Treatment options for cervical leiomyomas: a systemic review of literature. Medicina (Kaunas, Lithuania) 2021;57:92.

Keith T. Results of supravaginal hysterectomy with remarks on the old ways and the new of treating uterine fibroids. BMJ 1887;2:1257-8.

de Barros Lopes A, Spirtos NM, Hilton P, Monaghan JM. Uterine fibroids Chap 12 In: de Barros Lopes A, Spirtos NM, Hilton P, Monaghan JM, editors. Bonney’s gynaecological surgery 12th ed. John Wiley & Sons Ltd; 2018 p.127-33.

Christoph H. Houben, Cap Anamur Hospital, Lwere, Nuba Mountains

 

Department of Surgery

Houben, C. H., & Erishlo, J. Y. (2022). Large cervical leiomyoma: An experience from Sudan. Healthcare in Low-Resource Settings, 10(1). https://doi.org/10.4081/hls.2022.10094

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