Rationale: As more and more women delay their child bearing age, the prevalence of uterine fibroids during pregnancy is likely to increase.
Patient concerns & lessons: We report a Chinese Tibetan case with spontaneous expulsion of a huge cervical myoma after cesarean. Decreased blood supply of the myoma and the uterine contraction may contribute to the spontaneous expulsion. Vaginal-myomectomy is recommended as the initial treatment.