Vaginal Wall Leiomyoma: A Case Report

Vaginal wall leiomyoma is rare. they are typically located in the anterior or lateral wall of the vagina. approximately 301 cases have been reported in the literature. usually patients with vaginal leiomyoma present with a mass per vaginum or dyspareunia or pressure symptoms on the urinary tract. however, sometimes it is difficult to diagnose preoperatively because of an unusual presentation. history and a careful clinical examination may help to rule out malignancy. here, we report a case of vaginal leiomyoma which was incidentally identified during routine gynecological check up of a 36-year-old multiparous lady as a large, solid, painless mass in the left vaginal wall. the overlying mucosa moved freely over the mass. the usg revealed nothing abnormal in the pelvic organs. surgical enucleation was done vaginally and subsequent histopathology showed irregular and whorling bundles of smooth muscle cells confirming vaginal leiomyoma.