Journal of pediatric and adolescent gynecology · 2015
Dyspareunia in a Teenager Reveals a Rare Occurrence: Retroperitoneal Cervical Leiomyoma of the Left Pararectal Space.
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Giannella Luca, Mfuta Kabala, Tuzio Antonella, Cerami Lillo Bruno
Аннотация
BACKGROUND: Retroperitoneal uterine leiomyoma is a very rare occurrence and to discover it as a cause of female sexual dysfunction in a teen is unusual.
CASE: An 18-year-old black woman reported deep dyspareunia, resulting in severe distress. Gynecological and instrumental examinations showed a pelvic mass of 7 cm in diameter. The preoperative diagnosis was uterine fibroid, but the exact location of the leiomyoma was uncertain. Laparoscopic examination showed a pedunculated retroperitoneal cervical leiomyoma in the left pararectal space. After surgical excision of the mass, normal sexual activity was restored.
SUMMARY AND CONCLUSION: When a teen experiences pain with intercourse, pelvic masses should be part of differential diagnosis of dyspareunia.
CASE: An 18-year-old black woman reported deep dyspareunia, resulting in severe distress. Gynecological and instrumental examinations showed a pelvic mass of 7 cm in diameter. The preoperative diagnosis was uterine fibroid, but the exact location of the leiomyoma was uncertain. Laparoscopic examination showed a pedunculated retroperitoneal cervical leiomyoma in the left pararectal space. After surgical excision of the mass, normal sexual activity was restored.
SUMMARY AND CONCLUSION: When a teen experiences pain with intercourse, pelvic masses should be part of differential diagnosis of dyspareunia.