A huge cervical fibroid causing uterovaginal prolapse – An unusual presentation, diagnostic dilemma and an operative challenge

We report a rare case of a 35 yr Indian woman presenting with a mass per vagina since 2yrs and acute urinary retention since one day secondary to prolapsed cervical fibroid (15x8cm) which was mimicking chronic inversion and was making the anatomy unclear. It was managed by clear delineation of structures on the operating table. We believe that it is the first case of its own kind as the diagnosis could only be confirmed intraoperatively. Cervical fibroids present with varied manifestations posing difficulties in diagnosis and management. Thorough preoperative evaluation and anticipating operative challenges and judicious treatment help in relieving the misery for the patient.