Leiomyoma is a very common tumour of the female pelvis. However it is very unusual for a cervical leiomyoma to present as an intra-abdominal tumour. This is a case report of a 41 year old para 5 woman who presented with an intra-abdominal tumour of about six months duration which was found to be a huge cervical leiomyoma 18cmx15cmx12cm at elective hysterectomy for uterine leiomyoma. In this case with such unusual presentation, myomectomy was performed before the deep pelvis could be adequately accessed for hysterectomy to be performed successfully without complications. The huge cervical leimyomata found at laparotomy was not diagnosed as cervical leimyomata after clinical examination and ultrasound scan investigations were completed. The post-operative follow-up has all been normal. Conclusion: Surgical procedures in the management of cervical leiomyoma can be difficult if the cervical leiomyoma is presenting unusually as a huge intra-abdominal tumour. The surgical procedure to be performed in such situation may not be routine but a special approach is required to avoid complications.

Cervical Leiomyomata, Cervical Myoma, Cervical Fibroids, Uterine Leiomyoma