Volume : 6, Issue : 8, August - 2017

Huge Cervical Fibroid & Its Association with Bilateral Ovarian Vein Thrombosis - A Rare Case Report

Sneha Sethy, Vilasrao N Kurude

Abstract :

Cervical  fioids  account  for  2%  of  all  fioids.  They  are  classified  as  anterior, posterior,  lateral ,  central.  A  central  cervical  fioid  usually  arises  from  supra vaginal  portions  of   the  cervix  so  that  it  expands  the  cervix  equally  in  all directions  &  displaces  uterine  vessels  &  ureters.  On  laparatomy  it can be  recognised  at  once,  as  it  fills  the  pelvis ,  with  uterus  on  top  of  tumor  like   “ the Lantern  on  top  of   St.   Pauls   Cathedral  ” .  A  42   yr  old,  para  2  living   2,   tubectomised  woman  reported  at  GOPD  with  the complaints   of   increased  amount  of   bleeding   per  vaginum  since  4-5  months. General ,  systemic  examinations  were    normal.  Per abdominal examination revealed mass of size 22 weeks, firm, mobile.  On   per  speculum  examination  cervix  was   not visualised  clearly,  mass was  seen  protruding  through  vagina.  On  per vaginal examination   mass  of  size  22  weeks  felt,  cervix  bulky  mobility  restricted,  uterus   not felt  separately ,  fullness  in  all  fornices.  On  USG (A+P) – uterus   8 x 10 x 12  cm,  ante verted  ,  large  heterogeneous  lesion  of  size  15 x  8.7 x  12.7  cm  noted  in  uterus.  Other  investigations  were  within  normal  limit- CBC ,LFT,  RFT,   urine,  thyroid  profile, BT,  CT,  PT,  INR,  aPTT,  HIV,  HBV. She  was  advised  abdominal hysterectomy.  Intra  operative  findings   -   large  mass  of  size  15 x  10 x  12  cm  was seen  occupying  the  pelvis  with  normal  uterus  perched  on  top  with  typical appearance  of  Lantern  on  top  of  St  Pauls  Cathedral  appearance.  The  fioid  along with   uterus , bilateral  tubes,  left  ovary   was  removed.  HPR  confirmed  the  diagnosis  of  fioid. <o:p></o:p>

Keywords :

Article:

Download PDF Journal DOI : 10.15373/2249555X

Cite This Article:

Sneha Sethy, Vilasrao N Kurude, Huge Cervical Fibroid & Its Association with Bilateral Ovarian Vein Thrombosis‾A Rare Case Report, GLOBAL JOURNAL FOR RESEARCH ANALYSIS : VOLUME-6, ISSUE-8, AUGUST-2017