title: Vaginal myomectomy of a prolapsed gangrenous cervical leiomyoma.
abstract: We report a challenging case of a huge gangrenous prolapsed cervical leiomyoma in a multiparous HIV positive lady. A 37-year-old para 3 lady presented with a progressively increasing irreducible mass protruding out per vaginam, 3 months duration of heavy menses, and symptoms of a urinary tract infection. We performed a vaginal myomectomy and she did well postoperatively. A prolapsed gangrenous cervical leiomyoma is a rare condition with only a few cases reported in the literature. Vaginal myomectomy for this condition can be performed in experienced hands without difficulties.
authors.affiliation: Department of Obstetrics/Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria. ji.ikechebelu@unizik.edu.ng
authors.forename: J I
authors.initials: JI
authors.lastname: Ikechebelu
authors.forename: G U
authors.initials: GU
authors.lastname: Eleje
authors.forename: B C
authors.initials: BC
authors.lastname: Okpala
authors.forename: I V
authors.initials: IV
authors.lastname: Onyiaorah
authors.forename: J C
authors.initials: JC
authors.lastname: Umeobika
authors.forename: O A
authors.initials: OA
authors.lastname: Onyegbule
authors.forename: B T
authors.initials: BT
authors.lastname: Ejikeme
mesh_terms: D000328:Adult; D005260:Female; D005734:Gangrene; D006801:Humans; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery*; D011391:Prolapse; D063186:Uterine Myomectomy; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*