Vaginal Leiomyoma: A rare cause of Menometrorrhagia

Abstract

Primary vaginal tumors are rare. They are usually secondary to either cervical or vulval lesions. The benign solid tumors arising from the vaginal tissue include papilloma, hemangioma, mucous polyp and rarely Leiomyoma. In the vagina, leiomyoma usually presents as a solid single nodule mostly from anterior vaginal wall in women between the ages of 35-50 years. We present a case report of a 26 year old multipara female patient who presented with menometrorrhagia of 2 months duration. On ultrasound examination she was found to have a large hypoechoic mass within the vagina which was diagnosed as a pedunculated cervical fibroid. Thereafter MRI was performed which revealed a diffusely enhancing well defined mass lesion of signal intensity similar to myometrium within the vagina. Per-operatively the mass was confined to the vagina and a diagnosis of vaginal leimyoma was made confirmed by histopathology. Previously presented at 61 st National Conference of the Indian Radiological & Imaging association