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A 41-year-old unmarried nulligravida female presented with complaints of dysuria and intermittent fever for one week. There was no history of menstrual symptoms, uterine instrumentation, or uterine artery embolisation. The patient was a known case of type 2 diabetes and was on insulin treatment. There was no history of hypertension, bronchial asthma, tuberculosis, or thyroid disorder. On examination, the patient had a fever (99.8o F) and stable vital signs. Abdominal examination revealed a uterus size equivalent to 16 weeks of pregnancy. Blood investigations showed leukocytosis with a predominance of neutrophils (Total White Blood cells (WBC) count: 22,370 cells/cu mm with 83% neutrophils) and an elevated Erythrocyte Sedimentation Rate (ESR) of 96 mm/hr. HbA1c was 12.1%, indicating uncontrolled diabetes with an estimated average blood sugar level of 301 mg/dL. A pap smear was negative for intraepithelial lesion or malignant cells. Abdominal ultrasound revealed an enlarged uterus measuring 11.5×9.3×7.9 cm with an anterior wall fibroid measuring approximately 8.3×8.4 cm in the fundal region [Table/Fig-1a,b]. Abdominal and pelvic MRI showed a large heterogeneous lesion with cystic areas measuring 9.0×9.2×8.8 cm in the right antero-lateral myometrial wall [Table/Fig-2a-d].