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- Title
Diagnosis and management of vaginal leiomyoma: a case report and literature review.
- Authors
Mingqian Chen; Yunfei Li; Yugang Chi; Enlan Xia
- Abstract
Objectives: Leiomyomas are benign mesenchymal tumors that consist of smooth muscle cells and varying amounts of fibrous stroma. Uterine leiomyomas are the most common, affecting 20% to 30% of reproductive-age women, but vaginal leiomyomas are rare. Treatments gradually diversify with increased awareness of vaginal leiomyoma, but transvaginal fibroid resection remains the commonly used scheme. Case report: Herein, we present the case of a 50-year-old asymptomatic woman who had a mass in the left anterior wall of the vagina discovered by gynecological examination and ultrasound. We used oxytocin diluent injection during surgery to create a water pad in the tissue space and then performed a transvaginal myomectomy. There was little or negligible intraoperative bleeding and no peripheral tissue injury, early or late postoperative complications, incision dehiscence, and no surgical site infection. Conclusions: Transvaginal ultrasonography is the preferred examination for vaginal leiomyomas, and transvaginal myomectomy is the classic treatment method. The formation of a water pad with oxytocin dilution can effectively reduce intraoperative bleeding and shorten surgery time.
- Subjects
SMOOTH muscle tumors; MESENCHYMAL stem cells; INTRAOPERATIVE care; ULTRASONIC imaging; MYOMECTOMY
- Publication
Ginekologia Polska, 2023, Vol 94, Issue 10, p858
- ISSN
0017-0011
- Publication type
Article
- DOI
10.5603/GP.a2022.0145