Abstract :
Leiomyomas are the most common benign tumour of uterus and affects 40 to 50% of women older than 35yrs of age. Usually they are asymptomatic (70 to 80%). Approximately 5% of leiomyomas are of sub mucosal type being least common but are more symptomatic. Symptomatic leiomyomas are managed with either medical therapy or surgical management in the form of myomectomy or hysterectomy. Newer therapies like UAE and hysteroscopic resection gaining popularity. We are reporting an interesting and rare case of a large submucosal fibroid which was spontaneously expelled per vaginally mimicking inevitable abortion.
Keyword :
Submucous leiomyoma, Fibroid, Expulsion.