Fibrous polyp: it is a fibroid, endocavitary, pedunculated and delivered through the uterine cervix with a pedicle arising from the uterine fundus or one of the walls of the uterine cavity. Their treatment is surgical and requires skill and a suitable technical platform. To our knowledge, no cases have been published in Mali. We report a fibrous polyp occurring in a 41-year-old patient, multi-gesture 5th procedure 5th parous with 5 living children, evacuated from a community health center located 60 km away, who presented episodes of metrorrhagia. The gynecological examination shows the presence of a “fibroid” delivered through the cervix. She was surgically managed vaginally for lumpectomy. It was a mass composed histologically of uterine leiomyofibroma remodeled by inflammation.