Symptomatic Uterine Leiomyoma in a 65-year old Postmenopausal Virgin: A case report

Abstract

A case of symptomatic uterine leiomyoma coexisting with cervical intraepithelial neoplasia (CIN) III in a 65-year old postmenopausal virgin is reported. She presented with constipation suggestive of intestinal obstruction with no history of previous surgery, and investigations confirmed a calcified uterine leiomyoma. She had exploratory laparotomy, total abdominal hysterectomy and bilateral salpingo-oophorectomy. Histopathological examination confirmed uterine leiomyoma and concomitant severe cervical intraepithelial neoplasia (CIN III). Symptomatic uterine leiomyoma in an elderly postmenopausal woman is rare, and its coexistence with CIN III in a virgin, is even rarer. Total abdominal hysterectomy with bilateral salpingo-oophorectomy remains the treatment of choice in our environment. This, possibly, is the first reported case in Nigeria.