Surgical Management of Prolapsed Pedunculated

e-posta: [email protected] Abstract Leiomyomas, or fibroids, are the most common benign tumors of the uterus. Pedunculated submucous myomas usually cause menstrual irregularities but rarely labor like pain through dilating the cervix and prolapsing through it with possible avulsion of the twisted necrotic prolapsed portion. We present a case of pedunculated submucous myoma, mimicking cervical leiomyoma in a 30 year old unmarried virgin woman. She complained of occasional lower abdominal distention and menstrual dysfunction. The submucous pedunculated myoma was removed by laparotomy.. Prolapsed pedunculated leiomyomas of the uterus can best be managed by simple vaginal myomectomy. Cases like our patient can be difficult to manage because of not allowing vaginal excision.