title: Dyspareunia in a Teenager Reveals a Rare Occurrence: Retroperitoneal Cervical Leiomyoma of the Left Pararectal Space.
abstract: BACKGROUND
  Retroperitoneal uterine leiomyoma is a very rare occurrence and to discover it as a cause of female sexual dysfunction in a teen is unusual.
  
  
  METHODS
  An 18-year-old black woman reported deep dyspareunia, resulting in severe distress. Gynecological and instrumental examinations showed a pelvic mass of 7 cm in diameter. The preoperative diagnosis was uterine fibroid, but the exact location of the leiomyoma was uncertain. Laparoscopic examination showed a pedunculated retroperitoneal cervical leiomyoma in the left pararectal space. After surgical excision of the mass, normal sexual activity was restored.
  
  
  CONCLUSIONS
  When a teen experiences pain with intercourse, pelvic masses should be part of differential diagnosis of dyspareunia.
authors: Local Health Authority of Reggio Emilia, Division of Obstetrics and Gynecology, Cesare Magati Hospital, Scandiano, Italy. Electronic address: lucazeta1976@libero.it.
authors: Luca
authors: L
authors: Giannella
authors: Local Health Authority of Reggio Emilia, Division of Obstetrics and Gynecology, Cesare Magati Hospital, Scandiano, Italy.
authors: Kabala
authors: K
authors: Mfuta
authors: Local Health Authority of Reggio Emilia, Division of Obstetrics and Gynecology, Cesare Magati Hospital, Scandiano, Italy.
authors: Antonella
authors: A
authors: Tuzio
authors: Local Health Authority of Reggio Emilia, Division of Obstetrics and Gynecology, Cesare Magati Hospital, Scandiano, Italy.
authors: Lillo Bruno
authors: LB
authors: Cerami
mesh_terms: D000293:Adolescent; D003937:Diagnosis, Differential; D004414:Dyspareunia / Q000209:etiology*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007889:Leiomyoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D012186:Retroperitoneal Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D012187:Retroperitoneal Space / Q000601:surgery; D002583:Uterine Cervical Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery
keywords: Dyspareunia; Female sexual dysfunction; Retroperitoneal leiomyoma; Teenagers