Vaginal Leiomyoma: A Rare Presentation

Singh, Richa; Yadav, Poonam

doi:10.5005/jp-journals-10006-1284

Cited by 7 publications

(4 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A meticulous vaginal examination should be employed in the diagnosis of vaginal masses to differentiate various masses that can arise in the vagina. The differential diagnoses of vaginal leiomyoma include; cystocele, Gartner's duct cyst, Skene's duct cyst, Mullerian remnant cyst, epithelial inclusion cyst, ectopic ureterocoele, leiomyosarcoma, urethral, and bladder malignancy (2,8,9). The initial diagnosis for this patient was an infected vaginal wall cyst and a bladder tumor was also a differential.…”

Section: Discussionmentioning

confidence: 86%

Leiomyoma of the anterior vaginal wall: a rare case

Jimoh¹,

Ezeoke

Balogun

et al. 2021

BUMJ

View full text Add to dashboard Cite

Background: Leiomyoma is a benign smooth muscle mesenchymal tumor, usually of uterine origin but may rarelydevelop in the vaginal walls. Case presentation: A case of 40-year-old para 5+0 woman with anterior vaginal wall leiomyoma is reported. Thepresentation mimics that of uterovaginal prolapse and hence presents a diagnostic challenge. The unusualappearance of the protrusion, failure to reduce at any time even while lying down, and complete absence of urinarysymptoms raised the suspicion of a rare case. The diagnosis was made through examination under anesthesia,cystoscopy, and biopsy. Histological examination of the biopsy specimen confirmed vaginal wall leiomyoma. Thepatient had complete excision of the mass without any complications. Discussion and Conclusion: Vaginal wall leiomyoma is a rare benign vaginal lesion that can easily bemisdiagnosed. Diagnosis involves critical clinical evaluation, especially during pelvic examinations. Any vaginalprotrusion should be approached with a high index of suspicion, especially in patients of reproductive age.

show abstract

Section: Discussionmentioning

confidence: 86%

Leiomyoma of the anterior vaginal wall: a rare case

Jimoh¹,

Ezeoke

Balogun

et al. 2021

BUMJ

View full text Add to dashboard Cite

show abstract

“…Leiomyomas are commonly observed in the female reproductive tract, with the uterus being the most prevalent location, followed by the cervix, round ligament, uterosacral ligament, ovary and inguinal canal. [ 2 ] This site of occurrence and proximity to the urethra and bladder make our case particularly unique.…”

Section: Discussionmentioning

confidence: 97%

Vaginal leiomyoma in a perimenopausal woman: A rare case report and review of the literature

Deepika,

Goyal,

Garg

et al. 2024

Journal of Family Medicine and Primary Care

View full text Add to dashboard Cite

Vaginal leiomyomas, originating from the anterior vaginal wall, are exceedingly uncommon, with only around 300 reported cases documented in the literature to date. We present a rare case of a 50-year-old female who visited the outpatient department with complaints of abnormal uterine bleeding, and heaviness in abdomen with mass protrusion outside introitus since one year. Ultrasonography indicated adenomyosis of the uterus, with a suspected mass protruding through the posterior bladder or anterior vaginal wall. MRI imaging was conducted large polypoidal mass lesion is seen within the vaginal cavity two assymetrical round ends with close proximity to bladder and urethra with pedunculated submucosal uterine fibroid with adenomyotic changes . The provisional diagnosis of? vaginal leiomyoma along with pedunculated submucosal uterine fibroid with Adenomyosis made. Patient planned for Hysterectomy for submucosal leiomyoma with Adenomyosis and excision of vaginal mass via vaginal route. The size of vaginal mass was around size 5 * 6cm size enucleated, redundant vaginal wall excised and same sent for histopathology examination. The cut section of the vaginal mass showed whorled appearance .The Histopathology of vaginal mass showed Vaginal leiomyoma. Postoperative period was uneventful. The patient anatomy was restored and had no complaint of difficulty in urination and symptomatically improved.

show abstract

“…When there is a solid mass positioned in half of the vagina, an examination is necessary to determine between vaginal leiomyoma, vaginal cyst, or uterine prolapse. [11][12][13] Several diagnostic procedures such as transabdominal ultrasound (US), transvaginal US, translabial US, and MRI can be used to distinguish between vaginal leiomyoma and cancer. Magnetic Resonance Imaging (MRI) is advantageous for quickly proliferating leiomyomas that are difficult to visualize with Ultrasonography (US) and when there is a suspicion of malignancy.…”

Section: Discussionmentioning

confidence: 99%

Early diagnosis and appropriate management of vaginal leiomyoma in rural areas

Nizomy,

Budinurdjaja,

Armanza

et al. 2024

MOG

View full text Add to dashboard Cite

HIGHLIGHTS Extrauterine leiomyoma, including vaginal leiomyoma, is an exceedingly rare condition with complex pathogenesis and management Clinical evaluation and high-quality imaging are required to confirm the diagnosis of vaginal tumor. If there are insufficient facilities, referrals must be made. Operative management using vaginal approach was described for treating vaginal leiomyoma. ABSTRACT Objective: To describe the challenges of early diagnosis and appropriate management of vaginal leiomyoma in rural areas. Case Report: A 26-year-old woman, P1A0, was referred from a rural hospital and presented a chief complaint of vaginal mass. The patient was admitted to the tertiary hospital with suspected malignant vaginal tumor and underwent a biopsy, which revealed leiomyoma on pathological examination. Despite conservative treatment, the mass continued to grow, unaffected by the menstrual cycle, causing discomfort. Following a second hospital admission, the patient underwent surgical management of extirpation and vaginal reconstruction. The microscopic finding of the tumor showed myositis cell proliferation with hyperplastic growth, monotonous nuclei, and variable cell shapes, supporting the diagnosis of vaginal leiomyoma. During postoperative monitoring, there was no vaginal bleeding. Thereafter, on the day following surgery, it was found that the right labium major was swollen. This was treated with anticoagulants, topical NSAIDs, and a sitz bath. The patient was discharged from the hospital in good condition and had an uneventful postoperative recovery. Conclusion: Although the incidence of vaginal leiomyoma is uncommon, precise early diagnosis and appropriate management might improve outcomes, particularly in rural areas.

show abstract

Vaginal Leiomyoma: A Rare Presentation

Cited by 7 publications

References 2 publications

Leiomyoma of the anterior vaginal wall: a rare case

Leiomyoma of the anterior vaginal wall: a rare case

Vaginal leiomyoma in a perimenopausal woman: A rare case report and review of the literature

Early diagnosis and appropriate management of vaginal leiomyoma in rural areas

Contact Info

Product

Resources

About