Revista de informes de casos clínicos

Spontaneous Prolapse of Submucosal Myoma in a Nulliparous

Abstract

Wan-Hua T and Ming-Chow W

We presented a rare case of spontaneous myoma prolapse in a nulliparous woman without sexual experience. She was known to have a huge lower segment uterine myoma measuring 7 × 5 cm about 3 months ago. During this menstruation, she had a sudden prolapse of uterine mass and was brought to the emergency department due to profuse vaginal bleeding. Emergent vaginal myomectomy was done and the specimen was confirmed histologically benign. She recovered uneventfully with no clinical evidence of pelvic organ prolapse or residual lesion in her uterus during subsequent follow-up. Vaginal myomectomy is the treatment of choice for a pedunculated submucosal myoma but caution should be taken due to risk of concomitant uterine prolapse. It is also prudent to consider the risk of malignancy in young women presenting with non-puerpural myoma prolapse.