Huge myxoid leiomyoma of cervix presenting as irreducible prolapse-management by vaginal myomectomy

Cervical leiomyoma consists 1-2% of all leiomyoma and myxoid degeneration of cervical fibroid is very rare. We present an old neglected case of huge necrotic cervical leiomyoma presenting with prolapse of mass and pelvic organs in a woman with multiple co-morbidities. Early management was necessary for improving her quality of life and controlling blood sugar. In lack of fitness for anaesthesia we performed her vaginal myomectomy under Intravenous Sedation. Prolapse was reducible and in absence of septic foci blood sugar profile improved. Vaginal myomectomy is a safe and quick procedure with least surgical morbidity and should be considered in cervical fibroids.