{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T12:12:31Z","timestamp":1762085551629,"version":"build-2065373602"},"reference-count":12,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,11,30]]},"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:p>Leiomyoma, otherwise known as a fibroid, is commonly encountered in the uterus. Vaginal leiomyomas are extremely rare with a relative paucity of cases reported in the literature. Due to the rarity of the disease and complexity of the vaginal anatomy, definitive diagnosis and treatment are challenging. The diagnosis is often only made postoperatively after resection of the mass. They usually arise from the anterior vaginal wall and women may present with dyspareunia, lower abdominal pain, vaginal bleeding or dysuria. Imaging with a transvaginal ultrasound scan and MRI can confirm the vaginal origin of the mass. Surgical excision is the treatment of choice. The diagnosis is confirmed following histological assessment. The authors present the case of a woman in her late 40s presenting to the gynaecology department with an anterior vaginal mass. Further investigation with a non-contrast MRI was suggestive of a vaginal leiomyoma. She underwent surgical excision. Histopathological features were in keeping with the diagnosis of a hydropic leiomyoma. A high index of clinical suspicion is required to establish the diagnosis as it can be mistaken for a cystocele, Skene duct abscess or Bartholin gland cyst. Although it is a benign entity, local recurrence following incomplete resection and sarcomatous changes have been reported.<\/jats:p>","DOI":"10.1136\/bcr-2022-253081","type":"journal-article","created":{"date-parts":[[2023,3,8]],"date-time":"2023-03-08T09:40:26Z","timestamp":1678268426000},"page":"e253081","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Leiomyoma presenting as an anterior vaginal mass"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5499-415X","authenticated-orcid":false,"given":"Louise","family":"Dunphy","sequence":"first","affiliation":[{"name":"Department of Gynaecology, Leighton Hospital, Crewe, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francis","family":"Wood","sequence":"additional","affiliation":[{"name":"Department of Gynaecology, Leighton Hospital, Crewe, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mamoon","family":"Siraj","sequence":"additional","affiliation":[{"name":"Department of Urology, Leighton Hospital, Crewe, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Somashekar","family":"Neelagandan","sequence":"additional","affiliation":[{"name":"Department of Radiology, Leighton Hospital, Crewe, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Sheldon","sequence":"additional","affiliation":[{"name":"Department of Histopathology, University Hospital North Midlands, Stafford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ajay","family":"Swaminathan","sequence":"additional","affiliation":[{"name":"Department of Gynaecology, Leighton Hospital, Crewe, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,3,2]]},"reference":[{"key":"2025082713093117000_16.3.e253081.1","unstructured":"Ostor AG . Chapter 6. Tumours of the vagina: Mesenchymal tumours. In: Tavassoli FA , Devilee P , eds. World Health organization classification of tumours. pathology and genetics of tumours\/ pathology and genetics of tumours of the breast and female genital organs. Lyon: IARC Press, 2003."},{"key":"2025082713093117000_16.3.e253081.2","first-page":"972","article-title":"Vaginal fibromyomata: two cases with preoperative assessment, resection, and reconstruction","volume":"78","author":"Young","year":"1991","journal-title":"Obstet Gynecol"},{"key":"2025082713093117000_16.3.e253081.3","first-page":"506","article-title":"Leiomyome vaginal: a propose d\u2019un cas","volume":"10","author":"Drissi","year":"2015","journal-title":"Int J Innov Appl Stud"},{"key":"2025082713093117000_16.3.e253081.4","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1016\/S0002-9378(16)40639-3","article-title":"Myoma of the vagina","volume":"42","author":"Bennett","year":"1941","journal-title":"American Journal of Obstetrics and Gynecology"},{"key":"2025082713093117000_16.3.e253081.5","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1080\/20742835.2017.1314630","article-title":"Vaginal leiomyoma presenting as a lateral vaginal wall mass","volume":"9","author":"Wethmar","year":"2017","journal-title":"Southern African Journal of Gynaecological Oncology"},{"key":"2025082713093117000_16.3.e253081.6","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1111\/j.1341-8076.2003.00135.x","article-title":"Leiomyoma of the vagina: an unusual presentation","volume":"29","author":"Gowri","year":"2003","journal-title":"J Obstet Gynaecol Res"},{"key":"2025082713093117000_16.3.e253081.7","first-page":"82","article-title":"A misdiagnosed vaginal leiomyoma: case report","volume":"3","author":"Wu","year":"2015","journal-title":"Urol Case Rep"},{"key":"2025082713093117000_16.3.e253081.8","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.5858\/2000-124-1539-CWDAAL","article-title":"Concomitant well-differentiated adenocarcinoma and leiomyosarcoma of the uterus","volume":"124","author":"Sheyn","year":"2000","journal-title":"Arch Pathol Lab Med"},{"key":"2025082713093117000_16.3.e253081.9","first-page":"bcr2014204928","article-title":"Extrauterine fibroids: a diagnostic challenge and a long-term battle","volume":"2014","author":"Chin","year":"2014","journal-title":"Case Reports"},{"key":"2025082713093117000_16.3.e253081.10","first-page":"82","article-title":"A misdiagnosed vaginal leiomyoma: case report","volume":"3","author":"Wu","year":"2015","journal-title":"Urol Case Rep"},{"key":"2025082713093117000_16.3.e253081.11","doi-asserted-by":"crossref","unstructured":"Egbe TO , Kobenge FM , Arlette MMJ . Prevalence and outcome of hysterectomy at the Doula General Hospital, Cameroon. A cross-sectional study. Int J Surg Res Pract 2018;5.doi:10.23937\/2378-3397\/1410092","DOI":"10.23937\/2378-3397\/1410092"},{"key":"2025082713093117000_16.3.e253081.12","first-page":"92","article-title":"Case reports: vaginal leiomyoma. A case report and review of the literature","volume":"1","author":"Hoon","year":"2008","journal-title":"J Women\u2019s Med"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-253081","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T20:09:42Z","timestamp":1756325382000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-253081"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3]]},"references-count":12,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023,3,2]]},"published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1136\/bcr-2022-253081"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-253081","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2023,3]]}}}