VOLUME 3 - NUMBER 1 - 2021

A bladder leiomyoma masquerading as a vaginal mass causing dyspareunia. A case report and literature review

  • Feras Alkharouf, Mohamed Abdelrahman, Fadi Tamas Salameh, Clare Mc Carthy, Anna Keogh, Michael Geary, Hassan Rajab
  • Case reports, 44-47
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  • Leiomyoma arising from the bladder wall are very rare yet benign tumors. We present a case of a 42-year-old female patient who presented to our unit with pelvic pain, dyspareunia and a feeling of “something coming down”. Following the utilization of a variety of diagnostic techniques (i.e., clinical examination and operative cystoscopy), a large fungating tumour measuring 5 cm was discovered. A vaginal approach was adopted to resect the mass. Histological and immunohistological examination of the tumor confirmed a bladder leiomyoma. Despite the resection being complicated by a cystotomy, the patient had an uneventful recovery and was completely asymptomatic at her subsequent follow up appointment. Given the rarity of this condition, we discuss the available literature on this unusual diagnosis.

  • KEY WORDS: Leiomyoma, bladder, benign, tumour.