A rapidly growing paraurethral myoma with profuse bleeding from a mucosal vessel: report of a case.
Paraurethral leiomyoma is rare. This is the first reported case of a woman with a 6 x 7 x 5 cm urethral leiomyoma with profuse vaginal bleeding. The site of bleeding was identified as the anterior vaginal mucosal vein, which we subsequently electrocauterized. Enucleation of the mass was performed smoothly with a Foley catheter to avoid damage to the urethra. Profuse bleeding from a paraurethral myoma is possibly due to increased vascularity and the prolapsed nature of the tumor in this area.
Chong
Kian Mei
KM
Department of Obstetrics and Gynecology, Shin-Kong Wu Ho Su Memorial Hospital, Shih-Lin, Taipei, Taiwan.
Chuang
Jesse
J
Tsai
Yieh-Loong
YL
Hwang
Jiann-Loung
JL
D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000150:complications* / Q000175:diagnosis*; D008875:Middle Aged; D012422:Rupture, Spontaneous; D014592:Uterine Hemorrhage / Q000209:etiology*; D014621:Vagina / Q000098:blood supply; D014625:Vaginal Neoplasms / Q000150:complications* / Q000175:diagnosis*; D014680:Veins / Q000293:injuries