Chandrasiri Dact, Munasinghe B M, Pushpakanthan E J, Jayasinghe Jbu, Nissankaarachchi R D
Department of Anaesthesiology and Intensive Care, District General Hospital, Mannar, Sri Lanka.
Department of Gynaecology and Obstetrics, District General Hospital, Mannar, Sri Lanka.
SAGE Open Med Case Rep. 2022 Nov 1;10:2050313X221135596. doi: 10.1177/2050313X221135596. eCollection 2022.
Cervical leiomyoma is a relatively uncommon type of uterine leiomyoma. Prolapse of a cervical leiomyoma with inversion of the cervix is an extremely rare phenomenon, especially in a non-puerperal woman. Only a handful of cases are reported in the English literature. The case discussed here is of a vaginal prolapse of a submucous cervical fibroid complicated by cervical inversion in a South Asian perimenopausal woman with multiple comorbidities who had defaulted medical follow-up during the second wave of the COVID-19 pandemic. Being one of the largest reported cervical fibroids to date is another particularity of this case. Emphasis is given to the clinical diagnostic, anaesthetic, and surgical challenges encountered with a brief note on the impact of COVID-19 on outpatient clinic follow-up.
宫颈平滑肌瘤是一种相对不常见的子宫平滑肌瘤类型。宫颈平滑肌瘤伴宫颈内翻脱垂是一种极其罕见的现象，尤其是在非产褥期女性中。英文文献中仅报道了少数病例。本文讨论的病例是一名南亚围绝经期女性，患有多种合并症，在新冠疫情第二波期间未进行医学随访，其黏膜下宫颈肌瘤经阴道脱垂并伴有宫颈内翻。该病例的另一个特殊之处在于它是迄今为止报道的最大的宫颈肌瘤之一。本文重点介绍了所遇到的临床诊断、麻醉和手术挑战，并简要说明了新冠疫情对门诊随访的影响。
