Paracolpium Leiomyoma Misdiagnosed as Endometriosis: Case Report and Surgical Technique of a Laparoscopic Approach

Author:

de Nadai Filho Nilton123ORCID,Crispi Junior Claudio Peixoto2ORCID,de Freitas Fonseca Marlon24ORCID

Affiliation:

1. Ministro Costa Cavalcanti Hospital, Foz do Iguaçu PR, Brazil

2. Crispi Institute of Minimally Invasive Surgery, Rio de Janeiro, RJ, Brazil

3. Fernandes Figueira National Institute for Women, Children and Youth Health, Rio de Janeiro, RJ, Brazil

4. Department of Women’s Health-Fernandes Figueira National Institute for Women, Children and Youth Health-Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil

Abstract

A 36-year-old Caucasian, nulliparous patient sought care at a private gynecology clinic after 6 months of attempting to conceive. During the initial consultation, the patient reported severe dysmenorrhea and deep dyspareunia. During the gynecological examination, a nodule in the left lateral vaginal fornix was palpable. The MRI showed a hypointense nodular lesion in the left paracolpium described as an endometriosis nodule. Laparoscopic resection of the nodule was indicated. The patient showed improvement in symptoms after surgical treatment. This case report describes the technique for laparoscopic approach to paracolpium tumors.

Publisher

Hindawi Limited

Subject

Obstetrics and Gynecology

Reference12 articles.

1. Vaginal leiomyoma presenting as a lateral vaginal wall mass;E. I. Wethmar;Southern African Journal of Gynaecological Oncology,2017

2. Vaginal leiomyoma presenting as tumour in the paracolpium

3. A tumor in the paracolpium

4. Vaginal leiomyoma: medical imaging and diagnosis in a resource low tertiary hospital: case report

5. Recommendations for the surgical treatment of endometriosis. Part 2: deep endometriosis †‡¶;Working group of ESGE;Human Reproduction Open,2020

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