A 38yr old lady presented with a history of pain lowers abdomen on and off for three months but constant for the past 20days. She has had 3 normal vaginal deliveries. No significant past medical history. On examination per abdomen, she was found to have an 18-19 weeks size uterus, which was tender on palpation.vaginal examintion showed cervix pulled up. Intraoperatively, she was seen to have a 8cm fibroid to the left of the fundus. Procedure was uneventful. When the uterus was bisected, there was softening at the centre., probably some hyaline degeneration. non pregnant fibroids are generally speaking painless. If they are painful, degeneration, torsion of a pedunculated fibroid, pressure on adjacent organs or malignant change is suspected.
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