Degenerated Uterine Submucous Fibroid Prolapsing Through Lower Uterine Segment Caesarian Scar

Abstract

Leiomyomas (Fibroids) are the most common benign tumors of the uterus and are found in approximately 2% of pregnant women. Degeneration of leiomyoma occurs secondary to loss of blood supply and is usually attributable to rapid growth associated with pregnancy. We report the management of a case of posterior wall large degenerated submucous fibroid prolapsing through the lower segment cesarean (LSCS) scar [1]. Case Report Go to A 32 year old woman para2 live2 presented with pain abdomen and menorrhagia on her 23rd post-operative day after LSCS. At the time of admission patient was stable, her vitals were normal. Abdominal examination revealed a 20 weeks mass arising from pelvis, which is firm to cystic in consistency, tender with ill defined smooth edges. Per speculum and vaginal examination revealed 2 x 3cm prolapsed fibroid polyp. Cervical ring was felt all around the polyp with foul smelling, brown discharge