Vaginal leiomyoma removed laparoscopically: a case report

Abstract

  Vaginal leiomyoma is a rare tumor that is not continuous with the uterus. Few reports on the laparoscopic removal of vaginal leiomyoma have been published. Here, we report a case of vaginal leiomyoma removed laparoscopically after laparoscopic hysterectomy.

  A 53-year-old woman, G2P2, presented with dysuria and hysteroptosis. Multiple uterine fibroids and a 50–mm myoma-like mass, located between the bladder and anterior vaginal wall, were detected using transvaginal ultrasonography and magnetic resonance imaging. We diagnosed the patient with vaginal leiomyoma associated with multiple uterine fibroids and planned a subsequent laparoscopic hysterectomy with vaginal tumor resection. The procedure was initiated under general anesthesia and pneumoperitoneum, and 5-mm trocars were placed in a diamond shape at four locations on the lower abdomen. After hysterectomy, we confirmed the presence of a tumor protruding from the anterior vaginal wall into the vaginal cavity. The tumor was laparoscopically removed as one mass via a longitudinal incision in the mucosa of the vaginal anterior wall. The pathological diagnosis was angioleiomyoma without malignancy. The postoperative course was uneventful. Consequently, the symptoms improved with no complications or recurrence to date.

  In conclusion, we recommend laparoscopic removal of vaginal leiomyoma after laparoscopic hysterectomy as a treatment option for the surgical treatment of vaginal leiomyoma.