Red degeneration of leiomyoma in a non-pregnant women: An unusual presentation

Abstract

Red degeneration is an uncommon type of uterine leiomyoma degeneration which is mostly seen in pregnant women. Its occurrence in non-pregnant females is a very rare event. It occurs when the fibroid outstrips its blood supply leading to progressive necrosis. Grossly it resembles leiomyosarcoma which is a malignant neoplasm. Here we discuss a 34 years old multiparous female who presented with a history of severe abdominal pain and examination showed severe pallor with fibroid uterus. After optimization she underwent total abdominal hysterectomy preserving both ovaries. Histopathological examination revealed leiomyoma with red degeneration.