CASE REPORT: VAGINAL LEIOMYOMA

Abstract

Leiomyoma are benign, monoclonal tumors of the smooth muscle cells of the myometrium and contain large aggregations of extracellular matrix composed of collagen, elastin, fibronectin, and proteoglycan. [1] They are the most common benign tumors in females and are most frequently seen in uterus. Vaginal leiomyomas are very rare and often confused with a variety of vaginal tumors. Since the first detected case back in 1733 by Denys de Leyden approximately 300 cases have been reported in the literature so far. [2] They may present with varied symptoms depending on site, size and vascularity including lower abdominal pain, low back pain, vaginal bleeding, dyspareunia and urinary symptoms like frequency, dysuria or other features of urinary obstruction. Here we discuss a case of a 35 year old female who presented to us with complains consistent with prolapse and was provisionally diagnosed as paraurethral vaginal mass which turned out to be vaginal fibroid.