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A rare case of vaginal leiomyoma: diagnostic challenges and management

Aug 2026 · International Journal of Reproduction Contraception Obstetrics and Gynecology · Vol 15, pp. 3708-3710 · 0 citations · 11 references

TL;DR

This case highlights the importance of considering vaginal leiomyoma in the differential diagnosis of vaginal masses and early diagnosis and surgical management result in excellent outcomes with minimal recurrence risk.

Abstract

Primary vaginal leiomyomas are rare benign smooth muscle tumors that can pose a diagnostic challenge due to their unusual location and nonspecific presentation. We report a case of a female aged 29 years, on her routine checkup for primary infertility. On examination Incidental vaginal mass was found, a well-defined mass visualized in the anterior vaginal wall extending into right vaginal wall indenting into vaginal canal. Cervix was not visualized. Imaging showed well-defined lesion suggestive of anterior vaginal fibroid of size 5.1 × 6.8 × 7.3 cm. The patient underwent diagnostic laparoscopy followed by complete surgical excision by abdomino-vaginal approach. Histopathological examination confirmed the diagnosis of leiomyoma. The postoperative period was uneventful, and the patient remained symptom-free on follow-up. This case highlights the importance of considering vaginal leiomyoma in the differential diagnosis of vaginal masses. Early diagnosis and surgical management result in excellent outcomes with minimal recurrence risk.

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