A RARE CASE OF VULVAL FIBROID DURING PREGNANCY PRESENTING LIKE BARTHOLIN’S ABSCESS

Abstract

Introduction: - Fibroid are commonly found in uterus and cervix but rarely may found other sites (broad ligament, ovary, Vulva, vagina etc). Here we are presenting a rare case of Vulval Fibroid. Case Report: - A 25 years old woman G4P3L3 with 37 weeks pregnancy presented to OPD with complaint of severe pain at perineal region. There was history of fall in bathroom 1 month ago. On examination there was a swelling at right vulvo-vaginal junction of 4x4 cm, (probably bartholin cyst) with firm smooth surface, with no signs of acute inflammation, for that Incision and drainage was done and an organized mass was resected out. On histopathlogical examination, it was found to be a leiomyoma with myxoid degeneration. Discussion :- fibroids rarely presents with pain and inflammation and on the other hand bartholin’s cyst or abscess mostly presents with pain and inflammation, so detailed history and examination with broad suspicion are the keys to differentiate between Bartholin’s cyst and vulval fibroids.