Critical Care Obstetrics and Gynecology

Varied Presentations of Cervical Fibroid Polyps and the Diagnostic Role of Early Vaginal Examination in a Six-Case Series Study

Objective: To review the varied presentations, diagnosis and treatment of six cervical fibroid polyps managed by us.  

Methods: The medical records of the patients managed in Semino Hospital and Maternity Enugu were reviewed between 2016 and 2021 and summarized in two tables and a figure.

Results: The mean age of the patients was 36.3 years.  Most of the patients presented late with mean Pack Cell Volume (PCV) of 21.3%, excessive vaginal bleeding (4/6, 66.7%), weakness and dizziness (4/6, 66.7%), mass in the vagina (2/6, 33.3%), post-coital bleeding (1/6, 16.7%), and offensive vaginal discharge (1/6, 16.7%). Digital vaginal examination confirmed the diagnosis in all the cases. Polypectomy was done in each case. A total of 13 pints of blood were transfused and the treatment outcomes were satisfactory.  The histology reports confirmed leiomyomas in (5/6, 83.3%) cases.

Conclusion: Early vaginal examination should be employed for prompt diagnosis and treatment of cervical fibroid polyps before life-threatening complications occur.

Odugu BU, Onyekpa IJ, Obi CK, Okafor I and Ugwu IA