Primary vaginal leiomyoma in a hysterectomised woman presenting with urgency

Abstract

Primary vaginal leiomyoma is a pathological diagnosis of a rarity which arises mostly from the anterior vaginal wall. Usually presented with symptoms related to the compression of the mass and clinical diagnosis seems a dilemma.We report a case of a 45 years old hysterectomised woman having a mass in the anterior vaginal wall with urinary symptoms who was initially evaluated as Gardner's cyst and operated vaginally but intraoperative findings and pathological report were correlated with leiomyoma.Surgical removal of the vaginal leiomyoma is the preferred treatment by ruling out the malignant potential Any vaginal mass with or without symtoms should be evaluated carefully before surgical removal. Patients should be monitored carefully for the development of late recurrences following proper surgical removal.