Korean J Obstet Gynecol.  2011 Mar;54(3):159-162. 10.5468/KJOG.2011.54.3.159.

A case of suburethral myoma of the vagina in pregnancy

• Ju UC
• Kim YH
• Kim JW
• Cho HY
• Song TB

• KMID: 2274032
• DOI: http://doi.org/10.5468/KJOG.2011.54.3.159

Abstract

The uterine myoma is the most common benign tumor in gynecologic field, but rarely occurs in the vagina, especially in pregnancy. The vaginal myoma usually arises from the anterior vaginal wall and may be confused with a variety of gynecologic problems, like the cystocele or uterine prolapse. By ultrasonography in antenatal care, the more cases of uterine myoma and those adverse effects during pregnancy are more frequently detected, but this case of vaginal myoma is not. The patient, was diagnosed for cystocele at first, had Cesarean section delivery at gestational age 37+5 weeks and anterior colporrhaphy, but the protruded vaginal mass was recurrent. So, the patient was managed surgically by transvaginal myomectomy and the final diagnosis was myoma. We experienced this case of suburethral myoma of the vagina in pregnancy, so report this case with brief review of literature.

Keyword

Myoma; Suburethral; Vagina; Pregnancy

MeSH Terms

Cesarean Section
Cystocele
Female
Gestational Age
Humans
Myoma
Pregnancy
Uterine Prolapse
Vagina

Figure

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  Fig. 1 A mass is protruded out through vagina in pregnancy.

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  Fig. 2 A protruded mass is recurrent through vagina after delivery and anterior colporrhaphy.

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  Fig. 3 Sagittal transvaginal ultrasound shows 5.1×3.1×4.0 cm sized, well defined, echogenic mass at suburethral area.

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  Fig. 4 Computer tomography shows 5.3×4.5 cm sized, well circumscribed mass between urethra and vagina.

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  Fig. 5 Histopathological finding of the vaginal tumor showing interlacing bundles of spindle smooth muscle cells, and intervening collagenous stroma without cellular atypism and mitotic figures. (A) H&E, ×12.5. (B) H&E, ×100.

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