Vaginitis Emphysematosa in 80 years old woman

Abstract

Introduction: Vaginitis Emphysematosa is a very rare condition, self limited cystic disorder of the vagina. It is caused by Trichomonos vaginilis and it is very common in pregnant or immunocomprimised patients. It can present with a pressure symptoms, abnormal cervical smear or vaginal discharge. In this paper, we present a case of this rare condition in an elderly lady. Case report: An 80 years old woman presented to us with vaginal mass. She has had occasional smelly vaginal discharge, sensation of lump inside her vagina, with a sensation of not being able to completely emptying her bowels of 6 months duration. Local examination revealed a well circumscribed mid line cystic mass in the lower third of her vagina, measuring 2cm in diameter (size of a small lemon). Histological assessment of the biopsy revealed overall appearances are those of vaginitis emphysematosa. Conclusion: This rare case would help clinicians and pathologists to be aware about the recognition of this unusual condition, which is a benign self limiting condition.