Cervical angioleiomyoma: A rare tumor behind persistent menorrhagia and pelvic pain

Introduction: Angioleiomyoma is a rare, benign soft tissue tumor derived from smooth muscle cells with prominent vascular components. While more commonly found in the extremities, angioleiomyomas of the female genital tract, particularly the cervix, are extremely rare. Ultrasound helps in the diagnosis, but MRI is more definitive, as the vascular component of these tumors can often be highlighted with hyper intensity on T2-weighted images. Final confirmation of angioleiomyoma is by histopathological and immunohistochemistry studies.

Case report: We present here the diagnosis and management by total excision of a case of a large sized cervical angioleiomyoma in a young female, which presented as persistent heavy menstrual bleeding and pelvic pain.

Conclusions: Cervical angioleiomyoma, though rare, should be considered in the differential diagnosis of young females presenting with persistent heavy menstrual bleeding and pelvic pain.