Background: Aggressive angiomyxoma (AAM) is a rare myofibroblastic tumor of the pelvis and genital soft tissue. Case: This article reports on a case of vaginal AAM that was misdiagnosed as a case of genital prolapse. Results: Excision of the tumor was performed with no evidence of recurrence 24 months after surgery. Conclusions: Early detection of AAM requires a high index of suspicion. The case presented in this article illustrates the importance of meticulous examination and evaluation of cases preoperatively by a senior consultant. It also demonstrates that, when the vaginal wall descent is disproportionately large, compared to the descent of cervix, other differential diagnoses should always be considered. (J GYNECOL SURG 26:277)
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