A rare case of vaginal leiomyoma: diagnostic challenges and management
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20263067Keywords:
Vaginal neoplasms, Leiomyoma, Diagnostic imaging, Surgical excision, InfertilityAbstract
Primary vaginal leiomyomas are rare benign smooth muscle tumors that can pose a diagnostic challenge due to their unusual location and nonspecific presentation. We report a case of a female aged 29 years, on her routine checkup for primary infertility. On examination Incidental vaginal mass was found, a well-defined mass visualized in the anterior vaginal wall extending into right vaginal wall indenting into vaginal canal. Cervix was not visualized. Imaging showed well-defined lesion suggestive of anterior vaginal fibroid of size 5.1 × 6.8 × 7.3 cm. The patient underwent diagnostic laparoscopy followed by complete surgical excision by abdomino-vaginal approach. Histopathological examination confirmed the diagnosis of leiomyoma. The postoperative period was uneventful, and the patient remained symptom-free on follow-up. This case highlights the importance of considering vaginal leiomyoma in the differential diagnosis of vaginal masses. Early diagnosis and surgical management result in excellent outcomes with minimal recurrence risk.
References
Jahan N, Jahan S, Akter S, Chowdhury P, Mahmud KF, Ishrat S, Banu J. Vaginal leiomyoma, a rare variety in a subfertile women. Sch Int J Obstet Gynec. 2021;4(5):187-90.
Wethmar E, Mouton A, Dreyer G. Vaginal leiomyoma presenting as a lateral vaginal wall mass. S Afr J Gynaecol Oncol. 2017;9(1):16-8.
Yavuz O, Kula AH, Bayramoğlu Z, Aydin NYM, Mankan KA, Akdöner A. Extrauterine leiomyomas in uncommon locations: two case reports and literature review. Front Med (Lausanne). 2024;11:1408247.
Deepika, Goyal S, Garg P, Kanwat J, Kaur N. Vaginal leiomyoma in a perimenopausal woman: a rare case report and review of the literature. J Family Med Prim Care. 2024;13(5):2161-3.
Bansal N, Jain V, Gupta V, Bharadwaj A. A case of vaginal leiomyoma: a rare entity. J South Asian Feder Obst Gynae. 2015;7:231-3.
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: case report. BMC Womens Health. 2020;20(1):12.
De Barry L, Bahall V. Atypical manifestations of uterine leiomyomas: expecting the unexpected. Case Rep Womens Health. 2023;40:e00571.
Gowri R, Soundararaghavan S, Oumachigui A, Sistla SC, Iyengar KR. Leiomyoma of the vagina: an unusual presentation. J Obstet Gynaecol Res. 2003;29:395-8.
Gupta M, Saini V, Jindal R, Kumari S, Nargotra N. Vaginal leiomyoma: case report and literature review. J South Asian Feder Menopause Soc. 2017;5(1):62-5.
Gao Y, Qin Y, Li J, Qian J, Yao J. Vaginal leiomyoma: A case report. Exp Ther Med. 2022;24(5):661.
Patil RR, Vijay NR, Joshi S. An Unusual Presentation of Vaginal Leiomyoma. J Midlife Health. 2019;10(4):204-205.
Muhammad H, Rashid R, Othman S, Ahmed N, Ali R, Abdullah A, et al. Vaginal leiomyoma: a case report. Int J Surg Open. 2023;58:100663.
Chen M, Li Y, Chi Y, Xia E. Diagnosis and management of vaginal leiomyoma: a case report and literature review. Ginekol Pol. 2023;94(10):858-61.
Touimi Benjelloun A, Ziad I, Elkaroini D, Boufettal H, Mahdaoui S, Samouh N. Vaginal leiomyoma mimicking a cystocele: a case report. Int J Surg Case Rep. 2022;93:106955.
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