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Uterine leiomyoma, which arises from uterine smooth muscle, is the most common benign gynaecologic tumour of the female pelvis, however, giant fibroids are very rare in current practice, posing a management challenge. A 28-year-old nulliparous woman presented in a private clinic in Makurdi, Benue State, Nigeria with severe pain and slow growing abdominal mass with pressure symptoms due to a giant uterine fibroid. Intraoperatively, the mass was huge, weighed 11.6kg, was continuous with the uterus and tightly occupied the abdominal cavity with restricted mobility. Myomectomy was done after consideration of the patient’s wishes, fertility concerns and intra operative findings. Patient did well without complications and was discharged on day six.
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