Vaginal vault leiomyoma after hysterectomy. Case report

• Autores: Reyna-Villasmil, Eduardo, Torres-Cepeda, Duly, Rondon-Tapia, Martha
• Formato: artículo
• Fecha de Publicación: 2021
• Institución: Sociedad Peruana de Obstetricia y Ginecología
• Repositorio: Revista Peruana de Ginecología y Obstetricia
• Lenguaje: español; inglés
• OAI Identifier: oai:ginecologiayobstetricia.pe:article/2361
• Enlace del recurso: https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/2361
• Nivel de acceso: acceso abierto
• Materia: Vagina; Leiomioma; Histerectomía; Leiomyoma; Hysterectomy

Leiomyomas are benign, mesenchymal tumors that usually arise from uterine smooth muscle cells, but can also occur in atypical sites such as the vagina, lungs and vascular structures. Post-hysterectomy vaginal vault leiomyomas are very rare and their etiology has not been determined. Transvaginal ultrasound, computed tomography and magnetic resonance imaging are useful tools for the diagnosis and follow-up of these patients. The definitive treatment is total removal of the tumor to avoid dissemination or inadvertent spillage of occult malignant neoplastic cells. Administration of gonadotropin-releasing hormone analogs or intravascular embolization may be alternative methods to reduce intraoperative blood loss. A case of vaginal vault leiomyoma following hysterectomy is presented.