Summary:
Vaginal wall leiomyoma is rare. They are typically located in
the anterior or lateral wall of the vagina. Approximately 301
cases have been reported in the literature. Usually patients
with vaginal leiomyoma present with a mass per vaginum or
dyspareunia or pressure symptoms on the urinary tract.
However, sometimes it is difficult to diagnose preoperatively
because of an unusual presentation. History and a careful
clinical examination may help to rule out malignancy. Here,
we report a case of vaginal leiomyoma which was incidentally
identified during routine gynecological check up of a 36-
year-old multiparous lady as a large, solid, painless mass in
the left vaginal wall. The overlying mucosa moved freely over
the mass. The USG revealed nothing abnormal in the pelvic
organs. Surgical enucleation was done vaginally and
subsequent histopathology showed irregular and whorling
bundles of smooth muscle cells confirming vaginal leiomyoma.
Keywords: Leiomyoma, vaginal leiomyoma, benign uterine
leiomyoma.
(J Bangladesh Coll Phys Surg 2019; 37: 209-211)
DOI: http://dx.doi.org/10.3329/jbcps.v37i4.43353