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International Journal of Current Microbiology and Applied Sciences (IJCMAS)
IJCMAS is now DOI (CrossRef) registered Research Journal. The DOIs are assigned to all published IJCMAS Articles.
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National Academy of Agricultural Sciences (NAAS)
NAAS Score: *5.38 (2019)
[Effective from January 1, 2019]
For more details click here

ICV 2017: 100.00
Index Copernicus ICI Journals Master List 2017 - IJCMAS--ICV 2017: 100.00
For more details click here

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Original Research Articles

PRINT ISSN : 2319-7692
Online ISSN : 2319-7706
Issues : 12 per year
Publisher : Excellent Publishers
Email : editorijcmas@gmail.com / submit@ijcmas.com
Editor-in-chief: Dr.M.Prakash
Index Copernicus ICV 2017: 100.00
NAAS RATING 2018: 5.38

Int.J.Curr.Microbiol.App.Sci.2017.6(12): 4232-4234
DOI: https://doi.org/10.20546/ijcmas.2017.612.487


Vaginal Leiomyoma in a Post Menopausal Woman: Unusual Case
B.J. Kalibushi1*, G.J. Gilson2 and E. Habimana3
1Department of Obstetrics and Gynecology, Butare University Teaching Hospital (BUTH), Rwanda
2HRH Rwanda Staff, Maternal Fetal Medicine Specialist, BUTH, Rwanda
3Obstetrician and Gynecologist, BUTH, University of Rwanda, Rwanda
*Corresponding author
Abstract:

Vaginal leiomyoma is a rare tumor with a variable clinical presentation and a broad differential diagnosis that can be confounded with pelvic organ prolapse, as in this case. We present a case of vaginal leiomyoma without urinary symptoms but with mild vaginal discomfort. A 59-year-oldG4P4 postmenopausal woman presented with a 5-year history of progressive sensation of prolapse and recurrent vaginal discharge, but without urinary tract symptoms. She was referred with a diagnosis of stage 3 uterine prolapse. Simple external genital examination revealed a smooth mobile 6.5× 4.5 cm vaginal mass arising from the anterior vaginal wall, inferior and lateral to the urethra. Digital examination revealed a solid, mobile, paraurethral, vaginal mass, without evidence of pelvic relaxation. Ultrasonography and selective hematology work up were normal. Under spinal anesthesia, the mass was enucleated through a vertical incision, the urethra being continuously protected by inserting a Foley catheter and retracting it laterally to avoid inadvertent urethral compromise. Histology confirmed a benign leiomyoma. The evaluation of an anterior wall vaginal mass must include a thorough pelvic examination and may require urethrocystoscopy or other investigations such as positive-pressure urethrography. Surgical enucleation via a vaginal approach is the treatment of choice. Histology should be sent for precise identification of the mass.


Keywords: Vaginal leiomyoma, Surgical enucleation.
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How to cite this article:

Kalibushi, B.J., G.J. Gilson and Habimana, E. 2017. Vaginal Leiomyoma in a Post-Menopausal Woman: Unusual Case.Int.J.Curr.Microbiol.App.Sci. 6(12): 4232-4234. doi: https://doi.org/10.20546/ijcmas.2017.612.487