Timely Surgical Management of a Large Cervical Fibroid Presenting With Urinary Retention

Cervical fibroids are rare and account for a small percentage of uterine leiomyomas. A 34-year-old woman visited the department of obstetrics and gynaecology with chief complaints of fever with chills and burning micturition for three days. She also complained of urinary retention for one month, along with post-coital and intermenstrual bleeding. On per vaginal examination, a large pelvic mass filling the vagina, approximately equivalent to a 15-16 weeks gravid uterus, was observed, and a provisional diagnosis of abnormal uterine bleeding (AUB-L) due to a cervical fibroid was made. The diagnosis was confirmed by transabdominal ultrasonography (USG) and magnetic resonance imaging (MRI), which demonstrated a large anterior cervical fibroid. The surgical intervention involved total abdominal hysterectomy (TAH) with bilateral salpingectomy, wherein a large cervical fibroid was identified and removed. The surgical procedure was reported as technically challenging due to the anatomical distortion caused by the fibroid. The postoperative course was uneventful, and the patient reported complete resolution of urinary symptoms at a 15-day follow-up. This case highlights the importance of early diagnosis and surgical planning in managing large cervical fibroids to avoid complications such as obstructive uropathy and surgical injuries.