Acute presentation of undiagnosed vaginal leiomyoma in pregnancy

Vaginal leiomyomas are rare benign solid tumors of the vagina. There approximately 300 case reports available in literature and para-urethral site is extremely uncommon. Here we report a 29 year old primi-gravida who presented with complaints sudden protrusion mass arising from anterior vaginal wall at 16 weeks pregnancy. On per-vaginum examination firm, mildly tender 6×4×5 cm was palpated lower one third ending 1 proximal to external urethral meatus, occupying whole introitus it separate cervix. Trans-vaginal surgical enucleation leiomyoma done. Post-operative histopathology confirmed as leiomyoma.