Dasila, Priyank SinghShah, MaitriThamke, Pratima2025-05-122025-05-122024-12Dasila Priyank Singh, Shah Maitri, Thamke Pratima . A large submucosal pedunculated fundal fibroid presenting as a vaginal mass: a rare case report. MGM Journal of Medical Sciences. 2024 Dec; 11(4): 801-8042347-79462347-7962https://imsear.searo.who.int/handle/123456789/247732This study reports the clinical outcomes of a 47-year-old female, para 1, living 1, abortion 1, with a previous lower segment cesarean section, who presented with a history of vaginal spotting and weight loss over 6 months. Both ultrasonography and magnetic resonance imaging indicated a mass originating from the lower uterus and cervix, likely of neoplastic origin. Upon vaginal and speculum examination, a soft, round cystic mass was detected, filling the vaginal cavity, making cervical evaluation impossible. However, histopathology and fluid cytology confirmed the mass as benign. An exploratory laparotomy revealed a large submucosal pedunculated fibroid originating from the fundus and extending into the vaginal cavity. The fibroid was removed, and a hysterectomy was performed. This case highlights a rare presentation of a submucosal fibroid as a vaginal mass. It underscores the importance for gynecologists to recognize this complication to avoid delays in diagnosis and prevent unnecessary morbidity and mortality.Fundal fibroidpedunculatedsubmucosal fibroidvaginal massJournal ArticleIndiaDepartment of Obstetrics and Gynecology, MGM Medical College and Hospital, Navi Mumbai, Maharashtra, IndiaDepartment of Obstetrics and Gynecology, MGM Medical College and Hospital, Navi Mumbai, Maharashtra, IndiaDepartment of Obstetrics and Gynecology, MGM Medical College and Hospital, Navi Mumbai, Maharashtra, India