Vaginal leiomyoma

Case contributed by Dr Ammar Haouimi


Vaginal bleeding

Patient Data

Age: 60 years
Gender: Female

There are two vaginal masses arising from the anterior vaginal wall, compressing the vaginal lumen which is displaced posteriorly with a blood-filled distended uterine cavity and upper vagina. These masses show an intermediate signal intensity as compared with the normal myometrium on T1WI, low signal intensity on T2 with heterogeneous enhancement on postcontrast sequences. A mass effect is noted on the bladder floor and urethra which are displaced anteriorly.

Case Discussion

MRI features are suggestive of a vaginal leiomyoma.

Vaginal leiomyomas are an extremely rare entity, and fall under extrauterine pelvic leiomyomas

It may occur anywhere along the vaginal canal. The anterior vaginal wall (as this in case) is the most common location.

Additional contributor: A Ramdani, MD

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Case information

rID: 72281
Published: 25th Nov 2019
Last edited: 26th Nov 2019
System: Gynaecology
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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