Leiomyoma are known to occur in the uterus. It is unusual to find these benign smooth muscle tumours anywhere else. We report the occurrence of a swelling that appeared like a huge Bartholin's cyst in the vulva of a 30 year old married nulliparous woman. She had successful excision and histology confirmed it to be a leiomyoma.
Background: Schistosomiasis is a water borne disease caused by Schistosoma. It is the third most devastating tropical disease in the world, being a major source of morbidity and mortality for developing countries. Although the clinical manifestations on the urinary or gastrointestinal tracts are widely known, many clinical health-care professionals are unaware of the genital manifestations which are often ignored or underestimated. Aim: To report a rare clinical manifestation of schistosomiasis in the form of vulval polyp and also to increase its awareness its presentation and management. Case Report: An 11-year old pupil of presented to a peripheral hospital with 5-month history of progressive vulva swelling. She had no history of pain, itching, discharge or bleeding from the site. She had no urinary symptoms. The mass was clinically diagnosed as vulval polyp and surgically removed and sent for histology. She did well post operatively and was discharged to follow up in 2 weeks with the histology result. She was however lost to follow up. The histology results showed a granulomatous inflammation secondary to schistosomiasis. Conclusion: Vulval schistosomiasis though rare should be suspected in a child with vulvo-vaginal swelling. Biopsy should be obtained before definitive treatment is instituted.
