Diagnosis and management of vaginal leiomyoma: a case report and literature review

作者全名："Chen, Mingqian; Li, Yunfei; Chi, Yugang; Xia, Enlan"

作者地址："[Chen, Mingqian; Chi, Yugang] Chongqing Med Univ, Women & Childrens Hosp, Chongqing Hlth Ctr Women & Children, Dept Obstet & Gynecol, Chongqing, Peoples R China; [Li, Yunfei; Xia, Enlan] Capital Med Univ, Fuxing Hosp, Beijing, Peoples R China; [Chi, Yugang] 120 Longshan Rd, Chongqing 401120, Peoples R China"

通信作者："Chi, YG (通讯作者)，120 Longshan Rd, Chongqing 401120, Peoples R China."

来源：GINEKOLOGIA POLSKA

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001100623400001

JCR分区：Q3

影响因子：1.2

年份：2023

卷号：94

期号：10

开始页：858

结束页：861

文献类型：Review

关键词：case report; leiomyoma; vaginal mass; transvaginal myomectomy

摘要："Objectives: Leiomyomas are benign mesenchymal tumors that consist of smooth muscle cells and varying amounts of fibrous stroma. Uterine leiomyomas are the most common, affecting 20% to 30% of reproductive-age women, but vaginal leiomyomas are rare. Treatments gradually diversify with increased awareness of vaginal leiomyoma, but transvaginal fibroid resection remains the commonly used scheme.Case report: Herein, we present the case of a 50-year-old asymptomatic woman who had a mass in the left anterior wall of the vagina discovered by gynecological examination and ultrasound. We used oxytocin diluent injection during surgery to create a water pad in the tissue space and then performed a transvaginal myomectomy. There was little or negligible intraoperative bleeding and no peripheral tissue injury, early or late postoperative complications, incision dehiscence, and no surgical site infection.Conclusions:Transvaginal ultrasonography is the preferred examination for vaginal leiomyomas, and transvaginal myomectomy is the classic treatment method. The formation of a water pad with oxytocin dilution can effectively reduce intraoperative bleeding and shorten surgery time."

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