title: Submucosal uterine fibroid prolapsed into vagina in a symptomatic patient with IUS.
abstract: A female patient in her mid 40s presents with heavy menstrual bleeding (HMB) and a history of spotting/irregular light per vagina (PV) bleeding since intrauterine system (IUS) insertion 1 year ago. She is known to have submucosal uterine fibroid (SMUF). The patient reported abdominal pain and sudden onset of 'miscarriage-like' HMB with clots 2 days ago. On speculum examination there was a smooth round-shaped mass lying over the external cervical os. On bimanual examination PV, a round-shaped smooth mass of a walnut's size was palpable in the upper third of the vagina. Subsequent ultrasound imaging revealed an SMUF prolapsed into the vagina. Further surgical treatment was undertaken. Histology showed a fibroid (leiomyoma) with no evidence of malignancy.
authors.affiliation: ECCSH, MDGH, Macclesfield, Cheshire, UK.
authors.forename: Lyubov
authors.initials: L
authors.lastname: Matytsina-Quinlan
authors.forename: Laura
authors.initials: L
authors.lastname: Matytsina
mesh_terms: D005260:Female; D006801:Humans; D015907:Hysteroscopy; D007436:Intrauterine Devices, Medicated; D007889:Leiomyoma / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D008595:Menorrhagia / Q000628:therapy*; D008796:Metrorrhagia / Q000209:etiology*; D008875:Middle Aged; D014463:Ultrasonography; D014594:Uterine Neoplasms / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D014596:Uterine Prolapse / Q000150:complications / Q000000981:diagnostic imaging*
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