title: Leiomyoma of the vagina: an unusual presentation.
abstract: Vaginal leiomyomas are rare. They usually arise from the anterior vaginal wall. We report a case of a vaginal leiomyoma arising from the right lateral wall that presented as a gluteal swelling with pus discharging per vagina, creating a clinical dilemma in diagnosis. Preoperative imaging and biopsy may help to rule out malignancy. The size of the tumor necessitated abdominoperineal approach and hysterectomy for better surgical access. To the best of our knowledge such a clinical presentation of a vaginal leiomyoma has not been reported in the literature.
authors.affiliation: Department of Obstetrics and Gynecology, Jawaharlal Nehru Institute of Postgraduate Medical Education and Research, Pondicherry, India. gowridorai@hotmail.com
authors.forename: Raju
authors.initials: R
authors.lastname: Gowri
authors.forename: Subramanium
authors.initials: S
authors.lastname: Soundararaghavan
authors.forename: Asha
authors.initials: A
authors.lastname: Oumachigui
authors.forename: Sarath Chandra
authors.initials: SC
authors.lastname: Sistla
authors.forename: Krishnan R
authors.initials: KR
authors.lastname: Iyengar
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery; D014625:Vaginal Neoplasms / Q000473:pathology / Q000601:surgery