Acute presentation of undiagnosed vaginal leiomyoma in pregnancy

Vidhi Mishra

doi:10.18203/2320-1770.ijrcog20222817

Authors

Vidhi Mishra Department of Obstetrics and Gynaecology, Max Hospital Saket, New Delhi, India http://orcid.org/0000-0001-8990-0264

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20222817

Keywords:

Leiomyoma, Pregnancy complications, Vaginal leiomyomas

Abstract

Vaginal leiomyomas are rare benign solid tumors of the vagina^. There are approximately 300 case reports available in the literature and the para-urethral site is extremely uncommon. Here we report a case of 29 a year old primi-gravida who presented with complaints of sudden protrusion of mass arising from anterior vaginal wall at 16 weeks of pregnancy. On per-vaginum examination firm, mildly tender mass 6×4×5 cm was palpated arising from the lower one third of anterior vaginal wall and ending approximately 1 cm proximal to the external urethral meatus, occupying whole of the introitus and it was separate from the cervix. Trans-vaginal surgical enucleation of the vaginal leiomyoma was done. Post-operative histopathology confirmed as leiomyoma.

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Author Biography

Vidhi Mishra, Department of Obstetrics and Gynaecology, Max Hospital Saket, New Delhi, India

Obstetrics and gynecology

senior resident

References

Dane C, Rustemoglu Y, Kiray M, Ozkuvanci U, Tatar Z, Dane B. Vaginal leiomyoma in pregnancy presenting as a prolapsed vaginal mass. Hong Kong Med J. 2012;18(6):533.

Tourneux JP. Les fibromes du vagina. Prog Med Paris. 1934;41:1568-70.

Çobanoğlu Ö, Zorlu CG, Ergun Y, Kutluay L. Leiomyosarcoma of the vagina. European Journal of Obstetrics & Gynecology and Reproductive Biology. 1996;70(2):205-7.

Rvggieri AM, Brody JM, Curhan RD. Vaginal leiomyoma: A case report with imaging finding. J Report Med. 1996;54:149-50.

Pulfus E, Newcomer J. Guest Editorial: Vaginal Wall Mass. Obstetr Gynecol Survey. 1999;54(3):149-50.

Park SJ, Choi SJ, Han KH, PARK KH, Chung H, SONG JM. Leiomyoma of the vagina that caused cyclic urinary retention. Acta obstetricia et gynecologica Scandinavica. 2007;86(1):102-4.

Sadan O, Kruger S, Van Iddekinge B. Vaginal tumors in pregnancy: Case report and review of the literature. Acta obstetricia et gynecologica Scandinavica. 1987;66(6):559-62.

Ahram J, Lemus R, Schiavello HJ. Leiomyosarcoma of the vagina: case report and literature review. Int J Gynecol Cancer. 2006;16:884-91.

Bennett HG, Ehrlich MM. Myoma of the vagina. Am J Obstetr Gynecol. 1941;42(2):314-20.

Sadan O, Kruger S, Van Iddekinge B. Vaginal tumors in pregnancy: Case report and review of the literature. Acta obstetricia et gynecologica Scandinavica. 1987;66(6):559-62.

Schonberg LA, Oliver R, Burks N, Derieux GH. Giant Fibromyoma of the Vagina Complicating Pregnancy: Report of a Case. Obstetr Gynecol. 1963;22(2):234-6.

Lucas J, Dreyfus M, Bekkari Y. Surgical management during labor of giant vaginal fibromyoma. J Gynecol Surg. 2004;20(1):17-9.

Rywlin AM, Simmons RJ, Robinson MJ. Leiomyoma of vagina recurrent in pregnancy: a case with apparent hormone dependency. S Med J. 1969;62(12):1449-51.

Karataş A. Vaginal Leiomyoma in Pregnancy: A Case Report. Konuralp Tıp Dergisi. 2011;2011(3):12-4.