Cervical fibroid with amenorrhoea.

ABSTRACT

Fibroid are benign common tumour in reproductive age group arises from smooth muscles cells of uterus. Incidence is about 30-50%, vary from sizes very small to big, may be one or multiple1. Fibroid usually presents with menorrhagia/menstrual irregularities, but Cervical Fibroid with amenorrhoea is very rare entity. Usually 30-40 % hysterectomy are done for fibroids. Degenerative changes can occur, hyaline is common, while in 0.5% Malignant changes may occur. While operating a huge tumour the anatomy gets disturbed , so due care for the surrounding structure is to be taken otherwise we may land up in complications. In these Huge cervical fibroid Abdominal hysterectomy was proceeded up to uterine vessels, then transverse incision was kept over the anterior vaginal wall of cervix after pushing the bladder down, & fibroid was held with myoma screw & enucleated. Then routine Hysterectomy was completed. Bilateral ureteric tracing done. So meticulous examinations with a suspicion is needed for diagnosis & management of such case.