Necrotizing Vaginal Leiomyoma, Huge Cystocele Mimicking a Malignancy in a Hysterectomized Nigerian Woman

Background: Leiomyoma are benign tumours of the mesenchymal smooth muscle that usually develop in the uterus and rarely in the vagina. The presence of such benign growth in the vagina poses a diagnostic dilemma to most practitioners because of diverse mode of presentation. We present a rare case of vaginal leiomyoma and huge cystocele in a 41-year-old, Para 8, post-hysterectomized patient presenting with offensive discharge and bleeding per vagina associated with a necrotic mass protruding from the vagina. She had examination under anaesthesia, wide excision of anterior vaginal mass, anterior colporrhaphy for huge cystocele with good post-surgical outcome. Histology of excised mass confirmed a vaginal leiomyomata.