International Journal of Clinical Obstetrics and Gynaecology

Background: Cervical fibroids, also known as cervical leiomyomas, are rare benign smooth muscle tumors that arise from the cervix, comprising only about 2% of all uterine fibroids. They can be interstitial, submucosal, or subserosal and frequently originate from the supravaginal portion of the cervix. Their growth often leads to displacement of adjacent pelvic organs, such as the ureters and uterine vessels, and may mimic pelvic malignancies clinically and radiologically.
Objective: To present a case series of cervical fibroids, highlighting their clinical presentation, surgical challenges, and outcomes.
Methods: Over the last 6-8 months, ten cases of cervical fibroids were surgically managed. All patients underwent detailed clinical evaluation, ultrasonography, and intraoperative assessment. Surgical intervention included abdominal hysterectomy with or without ureteric stenting based on the size, location, and anatomical distortion.
Results: All patients presented with menorrhagia. Three patients reported urinary retention, and two experienced abdominal pain. Two patients required preoperative bilateral ureteric stenting due to ureteric displacement. Intraoperative findings revealed large central cervical fibroids with varying degrees of distortion of adjacent structures. Surgical removal posed significant challenges due to deep pelvic location and altered anatomy. Histopathology confirmed benign leiomyoma in all cases.
Conclusion: Cervical fibroids, though uncommon, can present with varied clinical symptoms and pose notable surgical challenges due to anatomical displacement and impaction in the pelvis. Meticulous preoperative planning and skilled surgical intervention are vital for successful outcomes.