A Giant sized Cervical Fibroid: resembling En Caul Birth

Cervical leiomyoma accounts for three to eight percent of the uterine myomata. Different presentation( i.e. resembling inversion uterus,malignancy etc.) and sizes of cervical fibroids have been reported in literature. We reported a case of a giant cervical fibroid whichappeared as ‘en caul birth’. The dimensions of the mass were 7 X 6 inches. Its weight was 750 grams. Patient was discharged in good condition. HPE examination showedLeiomyoma with areas of degeneration . Cervix is mainly composed of involuntary smooth muscles superiorly and fibrous connective tissue inferiorly. Probably this Leiomyoma arose from the smooth muscle and was expelled out as a polyp with its stalk attached to the anterior and lateral lip of cervix.