Necrotizing Vaginal Leiomyoma, Huge Cystocele Mimicking a Malignancy in a Hysterectomized Nigerian Woman

Abstract

Background Leiomyoma are benign tumours of the mesenchymal smooth muscle that usually develop in the uterus and rarely in the vagina. The presence of such benign growth in the vagina poses a diagnostic dilemma to most practitioners because of diverse mode of presentation. We present a rare case of vaginal leiomyoma and huge cystocele in a 41-year-old, Para 8, post-hysterectomized patient presenting with offensive discharge and bleeding per vagina associated with a necrotic mass protruding from the vagina. She had examination under anaesthesia, wide excision of anterior vaginal mass, anterior colporrhaphy for huge cystocele with good post-surgical outcome. Histology of excised mass confirmed a vaginal leiomyomata.