Giant prolapsed uterine leiomyoma causing acute urinary retention and severe anemia: a case report and review of the literature

This case underscores that giant leiomyomas should be in the differential for female AUR, especially with concurrent anemia. It clarifies the pathophysiology of severe anemia without menorrhagia from a prolapsed, necrotic fibroid. Finally, it champions surgical flexibility, showing how an innovative, combined abdomino-vaginal approach can overcome significant anatomical challenges to ensure a successful outcome.