Leiomyoma: a common benign tumor at an unusual location

Leiomyoma in the female genital tract is a common benign tumor of the uterus, followed by cervix, round ligament and inguinal ligament. Vaginal leiomyoma is a rare entity with only about 300 reported cases.Here, we report a case of a vaginal leiomyoma in a 22 year old nullipara who presented with dyspareunia and infertility. Vaginal examination revealed a mass in the anterior vaginal wall. MRI of the pelvis revealed a hypoechogenic and hypointense mass in the anterior vaginal wall. Excision of the tumor was done by the vaginal route. Histopathology revealed a benign leiomyoma.