Melike DEMİR ÇALTEKİN, Demet AYDOĞAN KIRMIZI, Emre BAŞER, Taylan ONAT

Nadir Yerleşimli Leiomyom Olgusu: Vajinal Leiomyoma

Leiomyomlar reprodüktif dönemdeki kadınlarda çok sık görülmesine rağmen vajinal leiomyomlar çok nadir görülür. Kliniğimize farklı şikayetlerle başvuran iki hastada vajinal leomyoma tespit edildi. 52 yaşında kadın hasta kliniğimize menometroraji şikayeti ile başvurdu ve 45 yaşında kadın hasta kliniğimize sistosel tanısı ile başka bir merkezden yönlendirildi. Bu iki hasta vajinal miyom tanısı aldı. Vajinal leiomyom; disparoni, vajinal kitle,vajinal akıntı veya uterovaginal prolapsusu taklit eden klinik semptomlarla ortaya çıkabilir. Bir vajinal kitle tespit edildiğinde, nadir görülmesine rağmen ayırıcı tanıda leiomyom da olabileceği düşünülmelidir.

An Unusual Localization of Leiomyoma: Vaginal Leiomyoma

Although fibroids are very common in women with reproductive age, vaginal leiomyomas are very rare. Two patientspresented to our clinic and diagnosed with atypical localization of myoma uteri. A 52-year-old woman admitted to ourclinic with the complaint of menometroragia and a 45-year-old woman referred to our clinic from another center withthe diagnosis of cystocele.This two patients diagnosed as vaginal myoma. Vaginal leiomyoma may present with clinical symptoms such asdyspareunia and vaginal mass, vaginal discharge or mimicking uterovaginal prolapse. When a vaginal mass isdetected, a differential diagnosis of leiomyoma should be considered despite being a rare situation.

PDF

___

1. Fasih N, Prasad Shanbhogue AK, Macdonald DB, et al. Leiomyomas beyond the uterus: unusual locations, rare manifestations. Radiographics. 2008; 28: 1931-48.
2. Hamzan MI. Ishak A. Basiron N. Primary Anterior Abdominal Wall Leiomyoma - A Rare Case with a Common Approach. Gynecol Obstet Reprod Med 2019; 25: 000-000.
3. Batihan G, Usluer O, Kaya SO, Aydogdu Z. Atypical deep somatic soft-tissue leiomyoma of extrathoracic chest wall: first case of the literature. BMJ Case Rep. 2018; 11: e226668.
4. Sel G. Case of an atypical located leiomyoma arising from rectus sheath. J Surg Med. 2018; 2: 408-9.
5. Cobanoglu O, Gurkan Zorlu C, Ergun Y, Kutluay L. Leiomyosarcoma of the vagina. Eur J Obst Gynecol Reprod Biol. 1996; 70: 205–7.
6. Sherer DM, Cheung W, Gorelick C, et al. Sonographic and magnetic resonance imaging findings of an isolated vaginal leiomyoma. Journal of ultrasound in medicine: official journal of the American Institute of Ultrasound in Medicine. 2007; 26: 1453.
7. Gowri R, Soundararaghavan S, Oumachigui A, Sistla SC, Iyengar KR. Leiomyoma of the vagina: an unusual presentation. Journal of obstetrics and gynaecology research. 2003; 29: 395-8.
8. Nidhanee SV, Maiti S, Shareef D, Holland N. An unusual presentation of a vaginal leiomyoma in a postmenopausal hysterectomised woman: a case report. Cases journal. 2009; 2: 6461.
9. Yarcı A, Bayramov V, Şükür YE, Yüce T, Berker B. Vaginal vault leiomyoma: 25 years after total abdominal hysterectomy. Journal of minimally invasive gynecology. 2010; 17: 116-7
10. Malik S, Mahendru R, Rana SS. Vaginal leiomyoma presenting as dysfunctional uterine bleeding. Taiwanese Journal of Obstetrics and Gynecology. 2010; 49: 531-2.
11. Sim CH, Lee JH, Kwak JS, Song SH. Necrotizing ruptured vaginal leiomyoma mimicking a malignant neoplasm. Obstetrics & gynecology science. 2014; 57: 560-3.