Open AccessLeiomyoma of the anterior vaginal wall: a rare case
Author(s) -
Saheed Olanrewaju Jimoh,
Grace G Ezeoke,
OR Balogun,
Ademola Popoola,
AS Adeniran,
IF Abdul
Publication year - 2021
Publication title -
babcock university medical journal
Language(s) - English
Resource type - Journals
eISSN - 2756-4657
pISSN - 2465-6666
DOI - 10.38029/bumj.v4i2.90
Subject(s) - medicine , leiomyoma , biopsy , presentation (obstetrics) , cystoscopy , vagina , pelvic examination , surgery , lesion , vaginal disease , radiology , urinary system , anatomy
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.