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Primary vaginal carcinoma is considered as the rarest of primary gynecological neoplasm (1–2 % of all gynecological malignancies). It is commonly seen in the age group of 60–80 years [1, 2]. Most of the cases are asymptomatic and present with mass protruding per vagina. There are a few published cases of vaginal carcinoma associated with prolapse [1–5]. However, to our knowledge, there have been no published reports about posterior vaginal wall carcinoma affecting the lower one third of the vagina associated with a third-degree uterovaginal prolapse.

Primary Vaginal Carcinoma of Lower One-Third of Posterior Vagina Associated with Third-Degree Prolapse: A Rare Case