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Title: VAGINAL LEIOMYOMA - A RARE CASE REPORT

e-poster Number: EP 045

Category: Miscellaneous
Author Name: Dr. Rama Chandra Tudu
Institute: SCB MEDICAL COLLEGE AND HOSPITAL, CUTTACK, ODISHA
Co-Author Name:
Abstract :
A 30 yr old women presented with h/o intermittent urinary retention and excessive flow during menses since last 6month.she had continuous bleeding pv for last 20days. USG showed soft tissue lesion in left adnexa involving cervix. On MRI , inferiorly mid pelvic mass of size 7.2*10.7*7.2cm embedding cervix with mass effect over presacral soft tissue apparently cervical myoma. Laparotomy was done and mass couldn't be approached abdominally. A diagnosis of vaginal fibroid was done and vaginal fibroid was removed in piece meal through anterior vaginal wall .HP study report confirmed to be vaginal leiomyoma. Discussion - Tumors of vagina are rare with 300 reported cases. They are seen in the age group of 35-50yr. Usually single, benign , slow growing , mostly arise from midline anterior wall.pre operatively diagnosis aided by ultrasonography but MRI clinches the diagnosis. HP study is the gold standard. Surgical removal of tumor through vaginal approach is the treatment of choice. The patient needs to be followed up for chance of recurrence.