Abstract: The aim of this study was to evaluate the management of a large, asymptomatic uterine fibroid diagnosed during pregnancy. A 31-year-old female patient, primigravida, 23 weeks 4 days gestation. Ultrasound evaluation revealed fetal anomaly and multiple uterine fibroids. Termination of pregnancy by hysterotomy was decided. In the case of termination of pregnancy associated with large cervical myoma, which causes obstruction of the birth canal, a hysterotomy or cesarean section should be performed.