Case Of Vaginal Leiomyoma Research Articles

Vaginal leiomyoma: medical imaging and diagnosis in a resource low tertiary hospital: case report

BackgroundIn the literature under review there are about 300 reported cases of vaginal leiomyomas with none from Cameroon. We report a case of vaginal leiomyoma and highlight the diagnostic challenges faced at the Douala Referral Hospital (DRH), Cameroon.Case presentationA 36-year-old G3P3002 sexually active Cameroonian married woman reported dysuria, dyspareunia, cessation of sexual intercourse and offensive smelling vaginal discharge for 6 months and a 3-year history of a vaginal tumour; she was misdiagnosed despite ultrasonography and magnetic resonance imaging (MRI) but was corrected by an experienced radiologist. She underwent first look laparoscopy, surgical excision of the tumour through the vagina and histopathology analysis that confirmed leiomyoma.ConclusionPosterior location of vaginal leiomyomas found in this case is a rare occurrence. The diagnosis is based on careful examination and preoperative imaging (ultrasonography and MRI). However, the definitive diagnosis is usually made intra-operatively. We combined laparoscopic exploration of the internal genital organs and per vaginal excision of the vaginal leiomyoma. Thus, we recommend frozen section biopsy to exclude leiomyosarcoma.

A case of vaginal leiomyoma

Leiomyomas are common benign tumors seen in the uterus and are rare in the vagina. Here we report a 36 year old female who presented with a swelling in vulval region. Clinical examination and ultrasonography were performed. The tumor was excised and subsequent histopathology revealed a vaginal leiomyoma.

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

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.

A Case of Vaginal Leiomyoma: A Rare Entity

ABSTRACT Although uterine fibroids are common, vaginal fibroids are very rare. We report one such rare case of a woman who presented with a big mass projecting in the vagina with complaints of dyspareunia, dysuria and passage of dark, altered collected blood per vaginum. Ultrasound and magnetic resonance imaging (MRI) reported it as a cervical fibroid. It was enucleated successfully through vaginal route and histopathology report confirmed diagnosis of benign vaginal leiomyoma. Diagnosis of vaginal leiomyoma is rather challenging and its complete removal should be done to prevent recurrence, rule out sarcomatous change and relieve symptoms. How to cite this article Bansal N, Jain VJ, Gupta V, Bharadwaj A. A Case of Vaginal Leiomyoma: A Rare Entity. J South Asian Feder Obst Gynae 2015;7(3):231-233.