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Radical Hysterectomy due to fibroids
40 year old female. nulliparous. presented with abdominal-pelvic pain, heaviness and distension. On physical examination patient was weak, malnourished, and xyphisternum-fundal height on examination was 40 weeks. ultrasound revealed a 40-week fibroid uterus. Radical Hysterectomy. Fibroid mass measured at 4.8kg.