N64

UTERUS - Red degeneration of a fibroid

Description
A bulky uterus, primarily enlarged by a fibroid some 6 cm. across; the whorled surface of the lesion is well seen, and the whole is light purple in colour. The endometrial cavity can be seen compressed and distorted in the lower part of the fibroid. There is a small fibroid in the subserous position towards the fundus. There are occasional Nabothian follicles in the cervix.
History
This woman went to see her doctor because of an attack of influenza, and a pelvic tumour was found on examination. Her periods had lasted 4 days and occurred at 1-to-4 monthly intervals over the previous 2 years.