Abstract
Leiomyoma in the female genital tract is a common benign tumor of the uterus, followed by cervix, round ligament and inguinal ligament. Vaginal leiomyoma is a rare entity with only about 300 reported cases.Here, we report a case of a vaginal leiomyoma in a 22 year old nullipara who presented with dyspareunia and infertility. Vaginal examination revealed a mass in the anterior vaginal wall. MRI of the pelvis revealed a hypoechogenic and hypointense mass in the anterior vaginal wall. Excision of the tumor was done by the vaginal route. Histopathology revealed a benign leiomyoma.
Highlights
Vaginal leiomyomas remain an uncommon entity with only 300 reported cases.[1]
We report a case of a vaginal leiomyoma in a nullipara
Vaginal examination revealed a mass measuring about 6 cm x 6 cm in the anterior vaginal wall, 2 cm below the urethral meatus
Summary
Vaginal leiomyomas remain an uncommon entity with only 300 reported cases.[1] Other uncommon vaginal tumors are papilloma, hemangioma, and mucosal polyps. Vaginal fibroids rarely exist as a primary tumor of the vagina. These tumors are benign, solitary, smooth muscle neoplasms, and when large in size, symptoms may include vaginal discharge or bleeding, dyspareunia and urinary retention.
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