Vaginal Delivery of a Giant Submucous Fibroid

Abstract

Uterine fibroid is a benign neoplasm that arises from uterine smooth muscles and is the most common tumor of the female reproductive tract. They could be intramural, subserous, or submucous depending on the location in the uterus. The main definitive form of management is surgical, which is myomectomy, hysterectomy, or hysteroscopic excision of small subserous nodules. Rarely, submucous fibroids could extrude through the cervical os, which can make vaginal hysterectomy possible. We present the case of a 40-year-old multipara who presented with menorrhagia, vaginal discharge, and a large mass protruding through the vagina. She had vaginal myomectomy of a mass measuring 25 cm in diameter and weighing 2.3 kg. She did well postoperatively. Vaginal hysterectomy for huge pedunculated submucous fibroid is safe, short, simple, definitive, and rarely associated with discomfort or complication to patients.