Giant Uterine Fibroid Expelled Through the Cervix: A Case Report and Review of the Literature

Background: Giant uterine fibroids expelled through the cervix are rare. They usually measure less than 3–4 cm and may cause dyspareunia, menorrhagia, and sometimes infection. They are prone to necrosis or superinfection, and management is essentially surgical. Case Presentation: We report the case of a 45-year-old nulliparous single woman who presented with a large mass expelled through the cervix and exteriorized through the vulva, soft in consistency, bleeding on contact and friction, measuring 35 × 12 cm. She reported pelvic pain and heaviness evolving for one year. MRI suggested a cervical myoma. Vaginal myomectomy was performed. Histology confirmed a leiomyoma. Postoperative course was uneventful. Conclusion: Giant cervical leiomyomas are rare but may present with significant clinical symptoms. MRI plays a crucial role in diagnosis. Surgical removal remains the treatment of choice with good prognosis.