Necrotizing ruptured vaginal leiomyoma mimicking a malignant neoplasm.
10.5468/ogs.2014.57.6.560
- Author:
Chae Hee SIM
1
;
Jin Hee LEE
;
Jyung Sik KWAK
;
Seung Hun SONG
Author Information
1. Department of Obstetrics and Gynecology, Gangnam CHA Hospital, CHA University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Myoma;
Paraurethral mass;
Ruptured vaginal leiomyoma;
Vaginal malignancy
- MeSH:
Adult;
Diagnosis;
Humans;
Incidence;
Leiomyoma*;
Myoma;
Necrosis;
Odors
- From:Obstetrics & Gynecology Science
2014;57(6):560-563
- CountryRepublic of Korea
- Language:English
-
Abstract:
Leiomyomas are common benign uterine tumors. However, the incidence of vaginal myoma is very rare and may be confused with a variety of vaginal tumors. We report a case of 43-year-old nulligravida who presented with a protruding painful vaginal mass for 7 days. The mass had initially appeared 3 years prior, as 2 to 3 cm that had not subsequently increased. However suddenly, there was rapid severe enlargement over the course of 7 days. Physical exam revealed a monstrous shaped, black color with focal necrosis, odorous protruding vaginal mass about 7 cm in size. The vaginal mass was infected and degenerated. And vaginal wall was also destroyed by the enlarged mass. Because of the clinical features and radiologic findings, the preoperative diagnosis was a vaginal malignancy. We reported an extremely rare case of vaginal myoma that had several characteristics of malignancy, with a brief review of the literature.
