Publication:

A rare occurrence of multiple vaginal fibroids: a case report from Yenagoa, Bayelsa, Nigeria

Vaginal leiomyomata are an unheard-of diagnosis in many climes. When a case is seen, especially if there are multiple vaginal fibroids, it becomes a reportable event. This case highlights the possibility of finding multiple leiomyoma at a very unusual site in the genital tract and its treatment. A 36-year-old patient with asymptomatic, multiple, lateral and posterior vaginal walls nodules, presented on self-referral to the gynaecology clinic for evaluation, diagnosis and treatment. Preoperative assessment was done with physical examination and investigations. Following surgical excision of the vaginal nodules, histological assessment revealed a differentiation of the mesenchyme of the tissues toward leiomyoma. Vaginal fibroid is a rarity. Multiple vaginal fibroids is a distant rarity. Thus, a high index of suspicion is necessary when examining women presenting with nodule(s) in the vagina. Such swellings or nodules should be subjected to histological assessment to clinch the diagnosis of vaginal leiomyomata.