Abstract
Villous adenomas are known to occur in gastrointestinal tract; however, they are very rare in female genital tract. The pathogenesis is unclear but their origin from cloacal remnants has been hypothesized. Here we report a rare incidental case of primary villous adenoma with high grade dysplasia arising from vaginal vault in a 28-year-old female who presented with abnormal vaginal bleeding. The importance of reporting this lies in its pre-malignant behaviour and benign looking clinical appearance.
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