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Review paper
Published online: 2022-12-15
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Diagnosis and management of vaginal leiomyoma: A case report and literature review

Mingqian Chen1, Yunfei Li2, Yugang Chi1, Enlan Xia2
DOI: 10.5603/GP.a2022.0145
·
Pubmed: 36597753
Affiliations
  1. Department of Obstetrics and Gynecology, Women and Children’s Hospital of Chongqing Medical University, Chongqing, People's Republic of China, China
  2. Fuxing Hospital, Capital Medical University, Beijing, People's Republic of China, China

open access

Ahead of Print
REVIEW PAPERS Gynecology
Published online: 2022-12-15

Abstract

Objectives: Leiomyomas are benign mesenchymal tumors that consist of smooth muscle cells and varying amounts of fibrous stroma. Uterine leiomyomas are the most common, affecting 20% to 30% of reproductive-age women, but vaginal leiomyomas are rare. Treatments gradually diversify with increased awareness of vaginal leiomyoma, but transvaginal fibroid resection remains the commonly used scheme.

Case report: Herein, we present the case of a 50-year-old asymptomatic woman who had a mass in the left anterior wall of the vagina discovered by gynecological examination and ultrasound. We used oxytocin diluent injection during surgery to create a water pad in the tissue space and then performed a transvaginal myomectomy. There was little or negligible intraoperative bleeding and no peripheral tissue injury, early or late postoperative complications, incision dehiscence, and no surgical site infection.

Conclusions: Transvaginal ultrasonography is the preferred examination for vaginal leiomyomas, and transvaginal myomectomy is the classic treatment method. The formation of a water pad with oxytocin dilution can effectively reduce intraoperative bleeding and shorten surgery time.

Abstract

Objectives: Leiomyomas are benign mesenchymal tumors that consist of smooth muscle cells and varying amounts of fibrous stroma. Uterine leiomyomas are the most common, affecting 20% to 30% of reproductive-age women, but vaginal leiomyomas are rare. Treatments gradually diversify with increased awareness of vaginal leiomyoma, but transvaginal fibroid resection remains the commonly used scheme.

Case report: Herein, we present the case of a 50-year-old asymptomatic woman who had a mass in the left anterior wall of the vagina discovered by gynecological examination and ultrasound. We used oxytocin diluent injection during surgery to create a water pad in the tissue space and then performed a transvaginal myomectomy. There was little or negligible intraoperative bleeding and no peripheral tissue injury, early or late postoperative complications, incision dehiscence, and no surgical site infection.

Conclusions: Transvaginal ultrasonography is the preferred examination for vaginal leiomyomas, and transvaginal myomectomy is the classic treatment method. The formation of a water pad with oxytocin dilution can effectively reduce intraoperative bleeding and shorten surgery time.

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Keywords

case report; leiomyoma; vaginal mass; transvaginal myomectomy

About this article
Title

Diagnosis and management of vaginal leiomyoma: A case report and literature review

Journal

Ginekologia Polska

Issue

Ahead of Print

Article type

Review paper

Published online

2022-12-15

Page views

93

Article views/downloads

66

DOI

10.5603/GP.a2022.0145

Pubmed

36597753

Keywords

case report
leiomyoma
vaginal mass
transvaginal myomectomy

Authors

Mingqian Chen
Yunfei Li
Yugang Chi
Enlan Xia

References (14)
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