Clinical Studies and Medical Case Reports

Leiomyomas are the most common benign tumors of the uterus. Some of submucousal myomas become pedunculated in the uterine cavity, dilate the cervix and protrude into the vagina. Also the myomas may become necrotic, infected and gangrenous cause of inadequate blood circulation through a long pedicle or if the pedicle of leiomyoma twists. In this report, we present a 46-year old nulliparous woman with a challenging huge vaginal prolapsed pedunculated necrotic, infected 24 x 14 x 10 cm leiomyoma. The patient underwent vaginal myomectomy. On the 6 month follow-up subtotal uterine prolapse regressed, and uterus returned to its normal position. As in the case we present, vaginal myomectomy is a feasible, easy and effective procedure even for the patients with huge leiomyomas.