A rare occurrence of multiple vaginal fibroids: a case report from Yenagoa, Bayelsa, Nigeria
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20254316Keywords:
Vagina, Fibroid locations, Vaginal leiomyomataAbstract
Vaginal leiomyomata are an unheard-of diagnosis in many climes. When a case is seen, especially if there are multiple vaginal fibroids, it becomes a reportable event. This case highlights the possibility of finding multiple leiomyoma at a very unusual site in the genital tract and its treatment. A 36-year-old patient with asymptomatic, multiple, lateral and posterior vaginal walls nodules, presented on self-referral to the gynaecology clinic for evaluation, diagnosis and treatment. Preoperative assessment was done with physical examination and investigations. Following surgical excision of the vaginal nodules, histological assessment revealed a differentiation of the mesenchyme of the tissues toward leiomyoma. Vaginal fibroid is a rarity. Multiple vaginal fibroids is a distant rarity. Thus, a high index of suspicion is necessary when examining women presenting with nodule(s) in the vagina. Such swellings or nodules should be subjected to histological assessment to clinch the diagnosis of vaginal leiomyomata.
References
Awoyesuku PA, Mac-Pepple DA, Altraide BO, John DH. Review of gynaecology diagnoses and surgeries performed at a tertiary health facility in Niger-Delta of Nigeria from 2012 – 2017: Implication for healthcare planning and budgeting. JAMMR. 2020;32(2):1-10.
Rahul RP, Nikita RV, Sulbha J. An Usual Presentation of Vaginal Leiomyoma. J Midlife Health. 2019;10(4):204-20.
Egbe TO, Kobenge FM, Metogo JAM, Manka'a Wankie E, Tolefac PN, Belley-Priso E. Vaginal Leiomyoma: Medical imaging and diagnosis in a resource low tertiary hospital: BMC Women’s Health. 2020;20(1):12.
Chakrabarti I, De A, Pati S. Vaginal leiomyoma. J Midlife Health. 2011;2(1):42-3.
Benjelloun AT, Ziad I, Elkaroini D, Boufettal H, Mahdaouni S, Samouh N. Vaginal leiomyoma mimicking a cystocele (report case). Int J Surg Case Rep. 2022;93:106955.
Bae JH, Choi SK, Kim JW. Vaginal leiomyoma: a case report and review of literature. J Wom Med. 2008;1(2):92-4.
Braga A, Soave I, Caccia G, Regusci L, Ruggeri G, Pitaku I, et al. What is this vaginal bulge? An atypical case of vagibnal paraurethral leiomyoma. A case report and literature systematic review. J Gynecol Obstet Hum Reprod. 2021;50(6):101822.
Lugata J, Makower L, Ashley R, Ibrahim S, Tecla L, Raziya G, et al. Unusual presentation of recurrent vaginal leiomyoma in pregnancy. A rare case report and review of current literature. Clin Case Rep. 2025;13(4):e70344.
Cobanoglu O, Gurkan Zorlu C, Ergun Y, Kutlay L. Leiomyosarcoma of the vagina. Eur J Obstet Gynecol Report Biol. 1996;70(2):205–7.
Leron E, Stanton SL. Vaginal leiomyoma an imitator of prolapse. Int Urogynaecol J. 2000;11(3):196-8.
Sim CH, Lee JH, Kwak JS, Song SH. Necrotizing ruptured vaginal leiomyoma mimicking a malignant neoplasm. Obstet Gynecol Sci. 2014;57(6):560-3.
Gao Y, Qin Y, Li J, Qian J, Yao J. Vaginal leiomyoma: a case report. Exp Ther Med. 2022;24(5):661.
Abrar S, Mohsin R. Vaginal leiomyoma presenting as pelvic organ prolapse in pregnancy. JCPSP. 2022;32(12):SS143-5.
Tarrab A, Sabbagh AI, Adwan D. Vaginal leiomyoma misdiagnosed as Bartholin’s Abscess. A case report from Damascus, Syria. SAGE Open Med. Case Rep. 2022;10:2050313x221124072.