Abstract

REYNA-VILLASMIL, Eduardo; TORRES-CEPEDA, Duly  and  RONDON-TAPIA, Martha. Vaginal vault leiomyoma after hysterectomy. Case report. Rev. peru. ginecol. obstet. [online]. 2021, vol.67, n.4, 00010. ISSN 2304-5132.  http://dx.doi.org/10.31403/rpgo.v67i2361.

Leiomyomas are benign, mesenchymal tumors that usually arise from uterine smooth muscle cells, but can also occur in atypical sites such as the vagina, lungs and vascular structures. Post-hysterectomy vaginal vault leiomyomas are very rare and their etiology has not been determined. Transvaginal ultrasound, computed tomography and magnetic resonance imaging are useful tools for the diagnosis and follow-up of these patients. The definitive treatment is total removal of the tumor to avoid dissemination or inadvertent spillage of occult malignant neoplastic cells. Administration of gonadotropin-releasing hormone analogs or intravascular embolization may be alternative methods to reduce intraoperative blood loss. A case of vaginal vault leiomyoma following hysterectomy is presented.

Keywords : Vagina; Leiomyoma; Hysterectomy.

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