ELONGATED CERVICAL LIP SIMULATING UTERINE PROLAPSE 

Some degree of hypertrophy and elongation of cervix is common with cervicitis and uterovaginal prolapse. A 35 years old, para 4 (all home deliveries), attended the Gynae outdoor Department. On examination of the external genitalia, a pinkish cylindrical mass was seen coming upto 3 inches outside the introitus, with no cystocoele, rectocele or enterocele. A 2x2 cm sized rounded firm, swelling was visible at apex of the protrusion (Figure). On pulling the mass, it became evident that mass was actually the hypertrophied posterior lip of cervix (Figure). The anterior lip of the cervix was normal. The hypertrophied posterior lip was excised with the rounded swelling, followed by endocervical curettage and reconstruction of the posterior lip. Histopathology revealed the excised mass to be cervical tissue with evidence of chronic cervicitis while the rounded mass represented a cervical myoma. Endocervical curettings were suggestive of chronic cervicitis.