Myoma arising in a Cervical Stump

After having been almost abandoned, supracervical hysterectomy has been recently re-advocated, especially after the development of laparoscopy, because it is stated to have less morbidity and minor intra-operative complications. However, long term outcomes report high incidences of late complications Case Report A 49 year-old patient with a history of previous laparotomic myomectomy and one caesarean section, performed 12 years before, followed by supracervical hysterectomy for uterine rupture, referred to our practice complaining about urinary symptoms and mild abdominal pain. A myoma arising in the cervical stump measuring 8 cm in width was diagnosed both by the pelvic examination and vaginal ultrasound. The myoma appeared to be fixed in the pelvic cavity, with absence of lateral movements. Cervical biopsies and cytology were benign. After 1 year, the myoma had increased of about 3 centimetres and a laparoscopy was planned.