Virgin female with undetected cervical fibroid

Abstract EN

A virgin female in her early forty presented with heavy menstrual bleeding (HMB).

She had a long history of HMB and intermenstrual bleeding (IMB) which required recurrent admissions for the past 6 years.

The patient had a history of irregular periods for 12 days.

The patient reported abdominal pain.

Per vaginal and speculum examination and endometrial biopsy were not performed due to patient’s refusal to maintain intact hymen.

Subsequent ultrasound imaging was unremarkable.

CT scan suggested cervical mass (fibroid) with hyaline degeneration and foci of calcification and no evidence of malignancy.

The fibroid was resected.

Histopathology report showed features compatible with leiomyoma with hyaline degeneration and foci of calcification.

Postoperatively, the patient had uneventful hospital course.