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Dr Angana De, Rathindranath Ray, Lovely Agarwal, Sandhya Das, Nilotpal Roy, Arghya Maitra, Parvin Banu
Department:Fibroids arising from cervix are rare tumours
accounting for 2% of all fibroids. A cervical fibroid is usually either
interstitial or submucous in origin and arises mostly from supravaginal portion
of the cervix; it expands the cervix equally in all directions and displaces
uterine vessels and ureters. On laparotomy it can be recognised easily, as it
fills pelvis, with uterus on top of tumour like “the Lantern on the top of St
Pauls”. As it arises from deep pelvis and gets impacted, surgery poses
difficulties and complications are not uncommon. Here is such a case presented
with 28 weeks size cervical fibroid with the complaints of pain abdomen and
increased frequency of micturition. Patient was selected for operation. Hysterectomy
was necessitated. Intra-operatively there was anatomical distortion and
increased vascularity and to prevent haemorrhage vasopressin was used. In spite
of that patient was well managed and was discharged without any postoperative
complication.
Cervical fibroid, myomectomy, vasopressin
Journal: Medical Glory Vol 3, Issue No 1, July-September, 2019