Case Report: Vaginal Neurofibroma
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- Category: Vol. 81, December 2013
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Case Report: Vaginal Neurofibroma, WAEL S. NOSSAIR and MOHAMMED S. FARAG
Abstract
Background: The causes of masses protruding at vulva are many, but vaginal neurofibroma is very rare cause. The manifestations of solitary primary neurofibroma differ as a mass or pain or acute urine retention up to obstructed labour. Pain is one of manifestation that cannot be ignored especially if severe pain that interrupts patient life like physical activity, sexual intercourse, and may lead to psychological disorder. In addition to the repeated attacks of urine retention that may need hospital transfer and repeated catherization.
Case(s): The case presented with mass protruding at vulva, with attacks of acute urine retention relieved by repeated difficult catheterization, in addition to severe pain that partially relieved by analgesia and hypnotics with disturbed sexual relation and 2ry infertility, and at same period with psycho-logical upsets. By Cusco speculum examination using reverse technique i.e. insertion of Cusco speculum in form of blade latterly instead of one bale up and another down, the mass discovered to be pedunculated arising from anterior vaginal wall, the pedicle was long allowing this mass to be entered inside the urethra which was dilated to degree as if vagina is divided transversely in equal manner. Surgical excision was done, neurofibroma detected. Patient became pregnant and delivered safely.
Conclusion: Neurofibroma is rare but should be considered in any painful mass at vulva. By using Cusco speculum in reverse manner we can examine anterior and posterior vaginal wall.