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Touimi Benjelloun A, Ziad I, Elkaroini D, Boufettal H, Mahdaoui S, Samouh N. Vaginal leiomyoma mimicking a Cystocele (report case). Int J Surg Case Rep 2022; 93:106955. [PMID: 35364392 PMCID: PMC8968001 DOI: 10.1016/j.ijscr.2022.106955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2022] [Revised: 03/13/2022] [Accepted: 03/13/2022] [Indexed: 11/18/2022] Open
Abstract
Introduction and importance Case presentation Clinical discussion Conclusion
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Affiliation(s)
- Ahmed Touimi Benjelloun
- Obstetrics and Gynecology Department, University Hospital Center Ibn Rochd, Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Morocco.
| | - Imane Ziad
- Obstetrics and Gynecology Department, University Hospital Center Ibn Rochd, Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Morocco
| | - Douha Elkaroini
- Obstetrics and Gynecology Department, University Hospital Center Ibn Rochd, Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Morocco
| | - Houssine Boufettal
- Obstetrics and Gynecology Department, University Hospital Center Ibn Rochd, Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Morocco
| | - Sakher Mahdaoui
- Obstetrics and Gynecology Department, University Hospital Center Ibn Rochd, Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Morocco
| | - Naima Samouh
- Obstetrics and Gynecology Department, University Hospital Center Ibn Rochd, Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Morocco
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Braga A, Soave I, Caccia G, Regusci L, Ruggeri G, Pitaku I, Bassi V, Papadia A, Serati M. What is this vaginal bulge? An atypical case of vaginal paraurethral leiomyoma. A case report and literature systematic review. J Gynecol Obstet Hum Reprod 2020; 50:101822. [PMID: 32492525 DOI: 10.1016/j.jogoh.2020.101822] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Revised: 05/25/2020] [Accepted: 05/27/2020] [Indexed: 10/24/2022]
Abstract
AIM Vaginal paraurethral leiomyomas are uncommon benign tumors of the female genitourinary tract. We report a case of anterior vaginal paraurethral leiomyoma. Furthermore, we performed a systematic review of the literature to provide information that can help the physicians in the diagnosis and management of women with this rare pathology. METHODS A case of anterior vaginal paraurethral leiomyoma in 53-year-old, primiparous, caucasian woman with history of pelvic pressure, vaginal bulging and overactive bladder symptoms, was described. Furthermore, a systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement was performed between January 1, 2000 to Dec 30, 2019. Only articles that reported cases of vaginal or paraurethral leiomyoma (b) case series and case reports with literature review were included. RESULTS we screened a total 2281 records; 70 articles published from 2000 to 2019 were included. CONCLUSION Vaginal paraurethral leiomyoma is a rare benign tumor of the vagina with a wide spectrum of symptoms and good prognosis. The recurrence and transformation into malignant condition are rare. Histopathological examination is the gold standard for diagnosis, but MRI and US can be help to define the size and localization of the tumor. Management requires surgical vaginal excision in the majority of cases; however, abdominal approach could be considered when it is large and located high in the vagina.
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Affiliation(s)
- Andrea Braga
- Department of Obstetrics and Gynecology, EOC - Beata Vergine Hospital, Mendrisio, Switzerland.
| | - Ilaria Soave
- Department of Obstetrics and Gynecology, EOC - Beata Vergine Hospital, Mendrisio, Switzerland; Department of Medical and Surgical Sciences and Translational Medicine, Sant'Andrea Hospital, University of Rome "Sapienza", Rome, Italy
| | - Giorgio Caccia
- Department of Obstetrics and Gynecology, EOC - Beata Vergine Hospital, Mendrisio, Switzerland
| | - Luca Regusci
- Department of Obstetrics and Gynecology, EOC - Beata Vergine Hospital, Mendrisio, Switzerland
| | - Giovanni Ruggeri
- Department of Obstetrics and Gynecology, EOC - Beata Vergine Hospital, Mendrisio, Switzerland
| | - Ilvana Pitaku
- Department of Obstetrics and Gynecology, EOC - Beata Vergine Hospital, Mendrisio, Switzerland
| | - Valerio Bassi
- Department of Obstetrics and Gynecology, EOC - Beata Vergine Hospital, Mendrisio, Switzerland
| | - Andrea Papadia
- Department of Obstetrics and Gynecology, EOC - Civico Hospital, Università della Svizzera Italiana, Lugano, Switzerland
| | - Maurizio Serati
- Department of Obstetrics and Gynecology, Del Ponte Hospital, University of Insubria, Varese, Italy
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Egbe TO, Kobenge FM, Metogo JAM, Manka'a Wankie E, Tolefac PN, Belley-Priso E. Vaginal leiomyoma: medical imaging and diagnosis in a resource low tertiary hospital: case report. BMC WOMENS HEALTH 2020; 20:12. [PMID: 31964370 PMCID: PMC6975035 DOI: 10.1186/s12905-020-0883-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/23/2018] [Accepted: 01/13/2020] [Indexed: 11/25/2022]
Abstract
Background In the literature under review there are about 300 reported cases of vaginal leiomyomas with none from Cameroon. We report a case of vaginal leiomyoma and highlight the diagnostic challenges faced at the Douala Referral Hospital (DRH), Cameroon. Case presentation A 36-year-old G3P3002 sexually active Cameroonian married woman reported dysuria, dyspareunia, cessation of sexual intercourse and offensive smelling vaginal discharge for 6 months and a 3-year history of a vaginal tumour; she was misdiagnosed despite ultrasonography and magnetic resonance imaging (MRI) but was corrected by an experienced radiologist. She underwent first look laparoscopy, surgical excision of the tumour through the vagina and histopathology analysis that confirmed leiomyoma. Conclusion Posterior location of vaginal leiomyomas found in this case is a rare occurrence. The diagnosis is based on careful examination and preoperative imaging (ultrasonography and MRI). However, the definitive diagnosis is usually made intra-operatively. We combined laparoscopic exploration of the internal genital organs and per vaginal excision of the vaginal leiomyoma. Thus, we recommend frozen section biopsy to exclude leiomyosarcoma.
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Affiliation(s)
- Thomas Obinchemti Egbe
- Faculty of Health Sciences, University of Buea, P.O. Box 63, Buea, Cameroon. .,Department of Obstetrics and Gynecology, Douala Referral Hospital, P.O. Box 4856, Douala, Cameroon.
| | - Fidelia Mbi Kobenge
- Department of Obstetrics and Gynecology, Douala Referral Hospital, P.O. Box 4856, Douala, Cameroon
| | - Junette Arlette Mbengono Metogo
- Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon.,Department of Anesthesiology and Reanimation, Douala Referral Hospital, Douala, Cameroon
| | | | - Paul N Tolefac
- Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon
| | - Eugene Belley-Priso
- Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon
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Abstract
Leiomyomas are classified as benign mesenchymal neoplasms and consist of smooth muscle cells with variable amounts of fibrous stroma. The tumors occur most frequently in the uterus, affecting 20%–30% of women of reproductive age, but vaginal leiomyomas are rare with only around 300 cases reported since the first case was described in 1733. These tumors are thought to arise from Müllerian smooth muscle cells in the subepithelium of the vagina. Here, we present a case of vaginal leiomyoma who presented as left vaginal wall mass.
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Affiliation(s)
- Rahul R Patil
- Department of Obstetrics and Gynecology, NKP Salve Institute of Medical Sciences, Nagpur, Maharashtra, India
| | - Nikita R Vijay
- Department of Obstetrics and Gynecology, NKP Salve Institute of Medical Sciences, Nagpur, Maharashtra, India
| | - Sulbha Joshi
- Department of Obstetrics and Gynecology, NKP Salve Institute of Medical Sciences, Nagpur, Maharashtra, India
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Harada K, Ishikawa Y, Fujiwara H, Ishihara G. Female paraurethral leiomyoma successfully excised through a vaginal approach: A case report. J Obstet Gynaecol Res 2018; 44:1174-1176. [DOI: 10.1111/jog.13641] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2018] [Accepted: 02/20/2018] [Indexed: 11/30/2022]
Affiliation(s)
- Ko Harada
- Department of Obstetrics and Gynecology; Mitoyo General Hospital; Kagawa Japan
- Department of General Medicine; Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences; Okayama Japan
| | - Yoko Ishikawa
- Department of Obstetrics and Gynecology; Mitoyo General Hospital; Kagawa Japan
| | - Haruna Fujiwara
- Department of Obstetrics and Gynecology; Mitoyo General Hospital; Kagawa Japan
| | - Go Ishihara
- Department of Obstetrics and Gynecology; Mitoyo General Hospital; Kagawa Japan
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Wethmar EI, D Mouton A, Dreyer G. Vaginal leiomyoma presenting as a lateral vaginal wall mass. SOUTHERN AFRICAN JOURNAL OF GYNAECOLOGICAL ONCOLOGY 2017. [DOI: 10.1080/20742835.2017.1314630] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Affiliation(s)
| | - Arnold D Mouton
- Obstetrics and Gynaecology, University of Pretoria, Pretoria, South Africa
| | - Greta Dreyer
- Obstetrics and Gynaecology, University of Pretoria, Pretoria, South Africa
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Asnani M, Srivastava K, Gupta HP, Kunwar S, Srivastava AN. A rare case of giant vaginal fibromyoma. Intractable Rare Dis Res 2016; 5:44-6. [PMID: 26989649 PMCID: PMC4761584 DOI: 10.5582/irdr.2015.01037] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Vaginal fibroids rarely exist as a primary vaginal tumor. Approximately 300 cases have been reported in the literature. Here we are reporting a rare case of giant vaginal fibromyoma. It was diagnosed as cervical fibroid polyp preoperatively but found to be vaginal fibromyoma peroperatively.
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Affiliation(s)
- Mona Asnani
- Department of Obstetrics & Gynaecology, Era's Lucknow Medical College, Lucknow, U.P., India
- Address correspondence to: Dr. Mona Asnani, Department of Obstetrics & Gynaecology, Era's Lucknow Medical College, Lucknow, U.P., India. E-mail:
| | - Kumkum Srivastava
- Department of Obstetrics & Gynaecology, Era's Lucknow Medical College, Lucknow, U.P., India
| | - Hem Prabha Gupta
- Department of Obstetrics & Gynaecology, Era's Lucknow Medical College, Lucknow, U.P., India
| | - Shipra Kunwar
- Department of Obstetrics & Gynaecology, Era's Lucknow Medical College, Lucknow, U.P., India
| | - A N Srivastava
- Department of Pathology, Era's Lucknow Medical College, Lucknow, U.P., India
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