A rare case of giant vaginal fibromyoma

Asnani, Mona; Srivastava, Kumkum; Gupta, Harshita; Kunwar, Shipra; Srivastava, Aditi

doi:10.5582/irdr.2015.01037

Cited by 12 publications

(11 citation statements)

References 11 publications

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“…Leiomyomas in the female genital tract are common in the uterus and to some extent in the cervix followed by the round ligament, uterosacral ligament, ovary, and inguinal canal. 1 Occurrence in the vagina is very rare. These tumors arise most commonly from the anterior vaginal wall causing varied clinical presentations.…”

Section: Discussionmentioning

confidence: 99%

“… 2 They usually occur as a single, well-circumscribed mass arising from the midline anterior wall and less commonly, from the posterior and lateral walls. 1 , 3 , 4 They may be asymptomatic but may give rise to cyclic urinary retention, dyspareunia, gluteal swellings with vaginal purulent discharge, obstruction in the birth passage if along with pregnancy, or simply a feeling of mass in vagina. 5 , 6 These tumors can be intramural or pedunculated and solid as well as cystic.…”

Section: Discussionmentioning

confidence: 99%

“…Vaginal leiomyomas remain an uncommon entity with only about 300 reported cases since the first detected case back in 1733 by Denys de Leyden. 1 So far, only a few cases has been reported in Nepal. These tumors arise most commonly from the anterior vaginal wall causing varied clinical presentations.…”

Section: Introductionmentioning

confidence: 99%

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Vaginal Leiomyoma: A Case Report

Shah

Saha

2021

J Nepal Med Assoc

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Leiomyomas are common benign tumors of the uterus, affecting 20-30% of women of reproductive age group. But vaginal leiomyomas remain an uncommon entity with only about 300 reported cases. The first case was described in 1733. Only a few cases have been reported in Nepal to date. Tumors are thought to arise from Mullerian smooth muscle cells in the sub-epithelium of the vagina. Vaginal leiomyomas are usually situated in the anterior vaginal wall. Here, we report a case of a 48-year old multipara who presented the outpatient department with the ultrasonographic report showing multiple uterine fibroids but was asymptomatic. A physical examination showed a mass in the right vaginal wall. Pervaginal removal of the tumor was performed and subsequent histopathology revealed a vaginal leiomyoma. Removal of the tumor by the vaginal route, wherever possible, with the subsequent histopathological examination, appears to be the optimum management plan.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Vaginal Leiomyoma: A Case Report

Shah

Saha

2021

J Nepal Med Assoc

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“…In our case, the tumour was not well circumscribed as described in the literature and was located in the posterior wall (recto-vaginal space), thereby decreasing the clinical likelihood of suspicion. Vaginal tumours are usually asymptomatic but may occasionally present symptoms ranging from lower abdominal pain, low back pain, vaginal bleeding, dyspareunia, urinary symptoms like frequency, dysuria or other features of vagina or urinary obstruction [2,10]. Preoperative imaging and careful examination may help rule out a malignancy.…”

Section: Diagnosis Of Vaginal Leiomyomamentioning

confidence: 99%

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

et al. 2020

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Background: In 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 presentation: A 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. Conclusion: Posterior 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.

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“…4,24,26 In these cases, the diagnosis was made intraoperatively during abdominal hysterectomy. In some, the diagnosis was made after the histopathology report.…”

Section: 15mentioning

confidence: 99%