mini-laparotomic colpotomy for a cervicovaginal leiomyoma: preservation of hymenal integrity

background: leiomyomas are the most common benign tumors of the uterus. removal of the prolapsed pedunculated submucous myoma represents a distinct entity. evaluation and treatment of such cases may need intervention via the hymen.mini-laparotomic management of a pedunculated submucous myoma while preserving hymen integrity in a virginal patient is described as a safe alternative.. case: a 30-year old, nulliparous virgin woman admitted to the outpatient- clinic with the complaint of irregular menstrual bleeding ongoing for three months. pelvic ultrasound revealed a 5×6 cm solid mass in the cervico-vaginal location that filled the vaginal margins. due to the patient’s consistent desire for preserving hymenal integrity, mini-laparotomic colpotomy was performed and the mass was removed successfully. conclusion: mini-laparotomic colpotomy, preserving hymen integrity, provides excellent visualization and it is a convenient and effective tool in the management of a cervicovaginal pedunculated submucous myoma.