摘要：Background: Leiomyomas are the most common benign tumours of the uterus. The diagnosis, evaluation and
treatment of prolapsed pedunculated submucous myoma may need vaginal access compromising sometimes the
hymenal integrity. Laparoscopic management of a pedunculated submucous myoma in a Middle Eastern virgin
patient is described as a safe alternative.
Case: A 20-year-old, nulliparous virgin woman presented to the outpatient clinic for irregular menstrual bleeding
of 2 months duration. Imaging revealed a 5×5 cm solid mass in the cervico-vaginal location filling the vagina
suggestive of a prolapsed pedunculated submucous leiomyoma. Due to the patient’s desire of preserving her intact
hymen, a laparoscopic posterior colpotomy was performed and the mass was removed successfully.
Conclusion: Laparoscopic posterior colpotomy, preserving the hymenal integrity in a virgin patient, provides
excellent access and visualization and it is a safe tool for the management of a cervico-vaginal pedunculated
submucous myoma by a skilled laparoscopic gynaecologic surgeon.
