title: Successful pregnancy following myomectomy for giant uterine fibroid in an infertile woman.
abstract: BACKGROUND
  Giant uterine fibroid is a rare tumor of the uterus, usually symptomatic requiring surgical intervention. Uterine fibroid is generally common among black women.
  
  
  METHODS
  In this study, a case of 31 year old nullipara was reported who presented to the Gynaecology unit of Enugu State University Teaching Hospital (ESUTH), Nigeria with a history of progressive abdominal swelling of 8 years duration, six years duration of infertility and weight loss and dyspnoea on exertion. Physical examination and transabdominal ultrasound revealed a huge abdominopelvic mass. She had myomectomy. She had a histologically confirmed giant uterine fibroid that weighed 16.8 kg. She subsequently achieved a live birth.
  
  
  CONCLUSIONS
  Giant uterine fibroids are relatively rare. It poses great challenges in its management. The surgical option of management should consider the fertility preservation and aspiration of couples especially in developing countries.
authors.affiliation: Department of Obstetrics and Gynaecology, University of Nigeria, Teaching Hospital, Enugu State, Nigeria.
authors.forename: Euzebus Chinonye
authors.initials: EC
authors.lastname: Ezugwu
authors.affiliation: Department of Obstetrics and Gynaecology, University of Nigeria, Teaching Hospital, Enugu State, Nigeria.
authors.forename: Chukwuemeka Anthony
authors.initials: CA
authors.lastname: Iyoke
authors.affiliation: Department of Obstetrics and Gynaecology, Enugu State University, Teaching Hospital, Enugu state, Nigeria.
authors.forename: Frank Okechukwu
authors.initials: FO
authors.lastname: Ezugwu
authors.affiliation: Department of Obstetrics and Gynaecology, University of Nigeria, Teaching Hospital, Enugu State, Nigeria ; Department of Obstetrics and Gynaecology, Enugu State University, Teaching Hospital, Enugu state, Nigeria.
authors.forename: George
authors.initials: G
authors.lastname: Ugwu
keywords: Giant leiomyoma; Giant uterine fibroid; Infertility; Myomectomy; Nigeria