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Case Reports: Unusual presentation of more common disease/injury
Prolapsing vaginal fibroepithelial polyp
  1. Angela Leffelman1 and
  2. Sandra Valaitis2
  1. 1Obstetrics and Gynecology, The University of Chicago Medical Center, Chicago, Illinois, USA
  2. 2Obstetrics and Gynecology, University of Chicago Biological Sciences Division, Chicago, Illinois, USA
  1. Correspondence to Dr Sandra Valaitis; svalaiti{at}uchicago.edu

Abstract

Although uncommon, vaginal fibroepithelial polyps can present as prolapsing vaginal tissue, causing discomfort and anxiety. Surgical excision of the polyps can provide a minimally invasive solution. In this case, we describe a nulliparous female in late adolescence who presented for evaluation of tissue protruding through the vagina. On exam, a 5×4 cm fibroepithelial polyp was extending from the distal posterior vagina on a broad stalk. Successful transperineal surgical excision was performed. Fibroepithelial polyps, although uncommon, can be a cause for prolapsing vaginal tissue and should be part of the differential diagnosis, especially in patients who have no risk factors for pelvic organ prolapse. They can be excised vaginally, alleviating symptoms and distress. Because they sometimes recur, continued surveillance with gynaecological exams is recommended.

  • Obstetrics and gynaecology
  • Pathology
  • Vulvovaginal disorders
  • Urological surgery

https://doi.org/10.1136/bcr-2022-250967

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    Footnotes

    • Contributors SV serves as the senior and corresponding author for this manuscript. She also initiated the development of this case report after providing direct medical and surgical care to the subject of this report and initiated the consent process from the patient. AL drafted the manuscript, performed a literature search for relevant references and made revised the manuscript. SV also provided manuscript revisions, gave final approval of the version to be published and agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.