Puerperal vaginal prolapse of a huge pedunculated submucosal uterine fibroid that was initially intramural - A case report

Abstract

Puerperal vaginal prolapse of a huge pedunculated submucosal uterine fibroid is a rare event in a woman who delivered vaginally recently. The authors hereby present a case of a 10 cm uterine fibroid that prolapsed through the cervix five weeks after vaginal delivery. After 48h of intravenous administration of broad spectrum antibiotics, the myoma was successfully twisted under general anesthesia. The authors recommend that women carrying a huge uterine fibroid should be well observed during the postpartum period to diagnose an eventual uterine fibroid vaginal prolapse early, so as to prevent fibroid superinfection, obstructive complications and postpartum hemorrhage as well.