Cervical stump leiomyomata after supracervical hysterectomy; a case report with review of literature

Abstract Background Despite being highly debated issue, subtotal or supracervical hysterectomy is still considered a safe and effective treatment for women with multiple fibroid uterus. Many lesions could arise on top of the preserved cervical stump such as recurrence of fibroids, cervical polyps, endometriosis, or malignancies which may necessitate reoperation and resection of the cervical stump or trachelectomy. Trachelectomy is known to be a difficult surgical procedure that may be associated with significant intra and post-operative morbidity. Case presentation: We presented here a case with a pelvic mass related to the cervical stump presented 8 years after subtotal hysterectomy. She complained of pelvic pain and vaginal discharge and spotting. Transvaginal sonography and magnetic resonance imaging were performed and a heterogeneous pelvic mass was revealed. Surgical exploration and resection of the mass with cervical stump excision was performed. Histopathology conformed the diagnosis of cervical stump multiple leiomyomata. Conclusion Supracervical or subtotal hysterectomy could be performed in selected women with appropriate counselling, mainly in cases of multiple leiomyomata and the selected candidate should be told about the potential of recurrent fibroids in the retained cervical stump and its consequences including the need for reoperation for cervical stump resection.