Vaginal leiomyoma in pregnancy presenting as a prolapsed vaginal mass

Vaginal leiomyomas are rare benign solid tumours of the vagina. They can cause mechanical dystocia, which is a common problem in obstetrics leading to serious maternal and perinatal complications. Here we describe a patient with a vaginal leiomyoma diagnosed during the mid-trimester that could have...

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Bibliographic Details
Published in:Hong Kong medical journal = Xianggang yi xue za zhi 2012-12, Vol.18 (6), p.533-535
Main Authors: Dane, Cem, Rustemoglu, Yaprak, Kiray, Murat, Ozkuvanci, Unsal, Tatar, Zeynep, Dane, Banu
Format: Article
Language:English
Subjects:
Dystocia - etiology
Dystocia - prevention & control
Female
Fibroids
Humans
Leiomyoma - diagnosis
Leiomyoma - pathology
Leiomyoma - surgery
Pregnancy
Pregnancy Complications, Neoplastic - diagnosis
Pregnancy Complications, Neoplastic - pathology
Pregnancy Complications, Neoplastic - surgery
Pregnancy Outcome
Pregnancy Trimester, Second
Uterine Prolapse - diagnosis
Uterine Prolapse - pathology
Vaginal Neoplasms - diagnosis
Vaginal Neoplasms - pathology
Vaginal Neoplasms - surgery
Young Adult
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Summary:Vaginal leiomyomas are rare benign solid tumours of the vagina. They can cause mechanical dystocia, which is a common problem in obstetrics leading to serious maternal and perinatal complications. Here we describe a patient with a vaginal leiomyoma diagnosed during the mid-trimester that could have caused dystocia. This 22-year-old woman presented with a vaginal mass and leaking vaginal fluid during pregnancy. On examination, a prolapsed, pedunculated mass, measuring 5 × 3 × 4 cm was detected in the anterior vaginal wall. Via a midline incision, the mass was easily enucleated and removed. Transvaginal surgical enucleation of the vaginal leiomyoma is usually curative and recommended as the initial treatment of choice to prevent for dystocia. Such treatment is indicated when the tumour is a potential obstacle to normal labour.
ISSN:1024-2708
2226-8707