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BMJ Case Rep. 2014 Apr 16;2014. pii: bcr2014203877. doi: 10.1136/bcr-2014-203877.

Submucosal uterine fibroid prolapsed into vagina in a symptomatic patient with IUS.

Author information

1
ECCSH, MDGH, Macclesfield, Cheshire, UK.

Abstract

A female patient in her mid 40s presents with heavy menstrual bleeding (HMB) and a history of spotting/irregular light per vagina (PV) bleeding since intrauterine system (IUS) insertion 1 year ago. She is known to have submucosal uterine fibroid (SMUF). The patient reported abdominal pain and sudden onset of 'miscarriage-like' HMB with clots 2 days ago. On speculum examination there was a smooth round-shaped mass lying over the external cervical os. On bimanual examination PV, a round-shaped smooth mass of a walnut's size was palpable in the upper third of the vagina. Subsequent ultrasound imaging revealed an SMUF prolapsed into the vagina. Further surgical treatment was undertaken. Histology showed a fibroid (leiomyoma) with no evidence of malignancy.

PMID:
24739657
PMCID:
PMC3992545
DOI:
10.1136/bcr-2014-203877
[Indexed for MEDLINE]
Free PMC Article

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