Forough Radfar*

MBBS, MD Obstetrics and Gynecology, Sr. Consultant, Oman Ministry of Health, Oman

*Corresponding Author: Forough Radfar, MBBS, MD Obstetrics and Gynecology, Sr. Consultant, Oman Ministry of Health, Oman.

Received: May 19, 2026 Published: June 03, 2026

Abstract

Background: Uterine fibroids (leiomyomas) are the most common benign tumors of the female reproductive system [1]. Giant fi- broids are rare and pose significant surgical and fertility challenges, particularly in nulliparous women. Case Presentation: We report a case of a nulliparous woman with an 8-year history of infertility who presented with progressive abdominal distension. Imaging revealed a large pedunculated subserosal fibroid measuring 26 × 20 × 16 cm along with multiple smaller fibroids. The patient underwent successful open myomectomy with removal of a 5.16 kg fibroid, along with excision of smaller fibroids and ovarian cystectomy. Fertility was preserved. Conclusion: Even in cases of massive fibroids, uterus-conserving surgery is feasible with careful surgical planning. Myomectomy remains a valuable option in women desiring future fertility.

 Keywords: Uterine Fibroids; Fertility

References

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Citation

Citation: Forough Radfar. “Successful Myomectomy of a Giant Uterine Fibroid in a Nulliparous Woman with Preservation of Fertility: A Case Report". Acta Scientific Women's Health 8.6 (2026): 03-06.

Copyright

Copyright: © 2026 Forough Radfar. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.