A Rare Isolated Vaginal Myoma

Abstract

Abstract

Background:

There are many types of leiomyomata; however, this case report is about an anterior, isolated, large, rare vaginal myoma that is not classified in the International Federation of Gynecology and Obstetrics (FIGO) leiomyomata subclassification system. In this case, the patient was treated with a simple vaginal myomectomy without any abdominal skin incisions.

Case:

A 41-year-old female came to the hospital because she had an increasing amount of a watery, yellowish, odorless vaginal discharge for ∼1 month. An isolated vaginal solid mass, measuring ∼5.9 × 5.3 cm, with a normal uterus, was found on transvaginal ultrasonography. Magnetic resonance imaging showed a well-defined, homogenous, isolated vaginal mass, measuring 5.9 × 5.3 × 5.0 cm. The mass was located over the superior segment of the vagina, was removed through vaginal excision, and was sent for pathology testing.

Results:

Pathologic testing revealed that the mass was a vaginal leiomyoma.

Conclusions:

An isolated vaginal myoma—a rare type of myoma—can be managed with a simple vaginal myomectomy.