Presentation and management of giant fibroid uterus in an adolescent girl

Leiomyoma of the uterus is the most common tumor of the female pelvis. Its occurrence in females under the age of 20 years is not frequent. Moreover, its presence in the adolescent population has not been well documented. With the advent of high frequency ultrasonography and magnetic resonance imaging it is now possible to diagnose such cases at an early stage. Asymptomatic uterine fibroids can be left untreated as long as they are monitored closely. However, larger tumors usually require surgical treatment. Medical management by prescribing gonadotropin-releasing hormone analogue has been used to suppress estrogen production, thereby reducing the size of existing myomas to make them amenable to laparoscopic surgery. Selective embolization of uterine artery has been used successfully in the treatment of uterine fibroids. We came across a similar case of a large leiomyoma in a sexually inactive adolescent girl. She presented with a lump in her abdomen and without a history of menstrual disturbances or intake of oral contraceptives.