Doan Tu Trong, Pham Duong The, Van Nguyen Cuong, Tran Thanh Tuan, Van Nguyen Hai
Department of Abdominal Surgery 2, Vietnam National cancer Hospital, Viet Nam.
Department of Abdominal Surgery 2, Vietnam National cancer Hospital, Viet Nam.
Int J Surg Case Rep. 2025 Sep 25;136:111984. doi: 10.1016/j.ijscr.2025.111984.
Rectal leiomyomas are rare benign lesions with an estimated incidence of 1 in 2000 rectal tumors. The treatment of choice for these tumors is complete resection. Transvaginal approach is an appropriate method for tumors located in the anterior wall of the rectum. We herein report a case of a 31-year-old female patient treated by transvaginal resection for a lower rectal leiomyoma and also mention a literature review regarding this topic.
A 31-year-old female patient was admitted to our hospital due to abdominal pain. She was diagnosed with a lower rectal leiomyoma and underwent transvaginal tumor resection. Postoperative course was stable and the patient was discharged after 5 days with no complications of vaginal fistula or sphincter dysfunction.
Leiomyoma is a common benign tumor that can be found in many locations in the body, but rarely occurs in the rectum. Large leiomyomas of lower rectum would normally require transanal, intersphincteric, or transperineal resection. However, these approaches had risks related to sphincteric dysfunction and anastomosis leakage. Transvaginal resection is a minimally invasive approach that is an appropriate method for tumors located in the anterior wall of the rectum.
Transvaginal resection is a minimally invasive approach that may be considered for lower rectal submucosal tumors.
直肠平滑肌瘤是罕见的良性病变，估计在2000例直肠肿瘤中的发生率为1例。这些肿瘤的首选治疗方法是完整切除。经阴道入路是治疗位于直肠前壁肿瘤的合适方法。我们在此报告一例31岁女性患者，因低位直肠平滑肌瘤接受经阴道切除术，并提及有关该主题的文献综述。
一名31岁女性患者因腹痛入院。她被诊断为低位直肠平滑肌瘤，并接受了经阴道肿瘤切除术。术后病程平稳，患者在5天后出院，无阴道瘘或括约肌功能障碍等并发症。
平滑肌瘤是一种常见的良性肿瘤，可在身体的许多部位发现，但很少发生在直肠。低位直肠的大平滑肌瘤通常需要经肛门、括约肌间或经会阴切除。然而，这些方法存在与括约肌功能障碍和吻合口漏相关的风险。经阴道切除术是一种微创方法，是治疗位于直肠前壁肿瘤的合适方法。
经阴道切除术是一种微创方法，对于低位直肠黏膜下肿瘤可考虑采用。
