Necrotizing Vaginal Leiomyoma, Huge Cystocele Mimicking a Malignancy in a Hysterectomized Nigerian Woman

  • T. K. Nyengidiki
  • J. O. Alegbeleye
  • N. M. Inimgba
  • B. P. Athanasius
Case Report



Leiomyoma are benign tumours of the mesenchymal smooth muscle that usually develop in the uterus and rarely in the vagina. The presence of such benign growth in the vagina poses a diagnostic dilemma to most practitioners because of diverse mode of presentation. We present a rare case of vaginal leiomyoma and huge cystocele in a 41-year-old, Para 8, post-hysterectomized patient presenting with offensive discharge and bleeding per vagina associated with a necrotic mass protruding from the vagina. She had examination under anaesthesia, wide excision of anterior vaginal mass, anterior colporrhaphy for huge cystocele with good post-surgical outcome. Histology of excised mass confirmed a vaginal leiomyomata.


Vaginal leiomyoma Malignancy Cystocele Nigeria 


Compliance with Ethical Standards

Conflict of interest

The authors declare no conflict of interest.

Informed Consent

Consent for the use of the clinical pictures was obtained from the patient.


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Copyright information

© Association of Gynecologic Oncologists of India 2017

Authors and Affiliations

  • T. K. Nyengidiki
    • 1
  • J. O. Alegbeleye
    • 1
  • N. M. Inimgba
    • 1
  • B. P. Athanasius
    • 2
  1. 1.Department of Obstetrics and GynaecologyUniversity of Port Harcourt Teaching Hospital (UPTH)Port HarcourtNigeria
  2. 2.Department of Anatomical PathologyUniversity of Port Harcourt Teaching Hospital (UPTH)Port HarcourtNigeria

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