Publication: A Rare Case of Large Left Lateral Wall Vaginal Myoma
Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Vaginal leiomyomas are rare, they are uncommon benign tumor with variable
clinical presentation. They usually present as a mass per vaginum or dyspareunia
or pressure symptoms on the neighbouring structures. We present a case of 47
years lady with mass per vaginum and difficulty in walking and chronic pelvic pain.
Her clinical findings suggested a large mass in the left vaginal wall, the mass was
approximately 12 x 10 cm in size hindering the visualization of the cervix. Her
ultrasonography showed bulky uterus with mass occupying the cervix. This finding
was not correlating with the clinical findings. Magnetic resonance imaging (MRI)
was done and it was reported as mass lesion in pelvis separate from the cervix
abutting the rectum posteriorly. Ultrasonography (USG) guided biopsy was done
which was reported as Leiomyoma. She underwent vaginal myomectomy and was
confirmed in histopathology as Leiomyoma. A leiomyoma is a smooth muscle tumor
that arises from the muscular part of the uterus and rarely seen in the vaginal wall.
KEY WORDS
Chronic pelvic pain, Leiomyoma, Mass per vaginum
Description
Shrestha A,1 Mudbari J,1 Tamrakar SR,1 Pradhan N,1 Makaju R,2, Karki S3
1Department of Obstetrics and Gynecology
2Department of Pathology
3Department of Radiology
Dhulikhel Hospital, Kathmandu University Hospital
Kathmandu University School of Medical Sciences,
Dhulikhel, Kavre, Nepal
Keywords
Chronic pelvic pain, Leiomyoma, Mass per vaginum