case_images: PMC9630888_01
case_images: Prolapsed cervical leiomyoma impacted at the vaginal introitus. (a) The
  degenerative changes of the tumour at the apical segment.
case_images: 10.1177_2050313X221135596-fig1.jpg
case_images: PMC9630888_01_10.1177_2050313X221135596-fig1.jpg
case_images: fig1-2050313X221135596
case_images: On vaginal examination, there was a large friable, prolapsed uterine fibroid with apical necrosis, tightly impacted vaginally (Figure 1).
case_images: Resected leiomyoma.
case_images: 10.1177_2050313X221135596-fig2.jpg
case_images: PMC9630888_01_10.1177_2050313X221135596-fig2.jpg
case_images: fig2-2050313X221135596
case_images: The fibroid was resected vaginally with a gentle pull and the distorted cervix was isolated (Figures 2 and 3).
case_images: The resected myoma and the uterus: (a) resected cervical myoma, (b) uterus,
  and (c) uterine cervix. Note the altered architecture of the uterine
  cervix.
case_images: 10.1177_2050313X221135596-fig3.jpg
case_images: PMC9630888_01_10.1177_2050313X221135596-fig3.jpg
case_images: fig3-2050313X221135596
case_images: The fibroid was resected vaginally with a gentle pull and the distorted cervix was isolated (Figures 2 and 3).
case_images: Abdominal approach for the hysterectomy and salpingectomy.
case_images: 10.1177_2050313X221135596-fig4.jpg
case_images: PMC9630888_01_10.1177_2050313X221135596-fig4.jpg
case_images: fig4-2050313X221135596
case_images: The uterus and adnexa were in normal confines and a routine abdominal hysterectomy with salpingectomy was performed via a Pfannenstiel incision (Figure 4).
case_images: (a) Interlacing fascicles of smooth muscle bundles (H&E, x10) and (b)
  spindle cells with bland nuclei in myxoid stroma (H&E, x40).
case_images: 10.1177_2050313X221135596-fig5.jpg
case_images: PMC9630888_01_10.1177_2050313X221135596-fig5.jpg
case_images: fig5-2050313X221135596
case_images: Microscopically, the typical appearance of a leiomyoma with the degenerative changes was noted (Figure 5(a) and (b)).