Management of Cervical Fibroid during the Reproductive Period

This is a case report of a 29-year-old lady who presented with excessive vaginal discharge and sessile cervical fibroid arising from the vaginal portion of the cervix. She was not suitable for uterine artery embolization as she has never previously been pregnant before. She was encouraged to get pre...

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Main Authors: Remon Keriakos, Mark Maher
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2013/984030
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author Remon Keriakos
Mark Maher
author_facet Remon Keriakos
Mark Maher
author_sort Remon Keriakos
collection DOAJ
description This is a case report of a 29-year-old lady who presented with excessive vaginal discharge and sessile cervical fibroid arising from the vaginal portion of the cervix. She was not suitable for uterine artery embolization as she has never previously been pregnant before. She was encouraged to get pregnant and to avoid surgical excision which can lead to hysterectomy. Shortly after, she became pregnant. She had many admissions during pregnancy due to bleeding from the fibroid, and in one occasion she had blood transfusions. The fibroid increased in size to become larger than the head of the baby. An emergency caesarean section was performed at 37 weeks when she attended in labour before the date of her elective caesarean section. She was managed conservatively following delivery in the hope that the fibroid becomes smaller making surgery easier. The fibroid degenerated and reduced in size. Vaginal myomectomy was carried out. The patient is now pregnant for the second time and had a cervical suture at 20 weeks gestation. In this educational case report we discuss the different management options of cervical fibroids and review the literature of other similar cases and their outcome.
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spelling doaj-art-8acde3679b864ef89ce5e4e020e3d39d2025-02-03T01:32:17ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922013-01-01201310.1155/2013/984030984030Management of Cervical Fibroid during the Reproductive PeriodRemon Keriakos0Mark Maher1Department of Obstetrics and Gynaecology, Sheffield Teaching Hospitals, Royal Hallamshire Hospital, Jessop Wing, Sheffield S10 3QZ, UKDepartment of Obstetrics and Gynaecology, Sheffield Teaching Hospitals, Royal Hallamshire Hospital, Jessop Wing, Sheffield S10 3QZ, UKThis is a case report of a 29-year-old lady who presented with excessive vaginal discharge and sessile cervical fibroid arising from the vaginal portion of the cervix. She was not suitable for uterine artery embolization as she has never previously been pregnant before. She was encouraged to get pregnant and to avoid surgical excision which can lead to hysterectomy. Shortly after, she became pregnant. She had many admissions during pregnancy due to bleeding from the fibroid, and in one occasion she had blood transfusions. The fibroid increased in size to become larger than the head of the baby. An emergency caesarean section was performed at 37 weeks when she attended in labour before the date of her elective caesarean section. She was managed conservatively following delivery in the hope that the fibroid becomes smaller making surgery easier. The fibroid degenerated and reduced in size. Vaginal myomectomy was carried out. The patient is now pregnant for the second time and had a cervical suture at 20 weeks gestation. In this educational case report we discuss the different management options of cervical fibroids and review the literature of other similar cases and their outcome.http://dx.doi.org/10.1155/2013/984030
spellingShingle Remon Keriakos
Mark Maher
Management of Cervical Fibroid during the Reproductive Period
Case Reports in Obstetrics and Gynecology
title Management of Cervical Fibroid during the Reproductive Period
title_full Management of Cervical Fibroid during the Reproductive Period
title_fullStr Management of Cervical Fibroid during the Reproductive Period
title_full_unstemmed Management of Cervical Fibroid during the Reproductive Period
title_short Management of Cervical Fibroid during the Reproductive Period
title_sort management of cervical fibroid during the reproductive period
url http://dx.doi.org/10.1155/2013/984030
work_keys_str_mv AT remonkeriakos managementofcervicalfibroidduringthereproductiveperiod
AT markmaher managementofcervicalfibroidduringthereproductiveperiod