Background: Retroperitoneal uterine leiomyoma is a very rare occurrence and to discover it as a cause of female sexual dysfunction in a teen is unusual.Case: An 18-year-old black woman reported deep dyspareunia, resulting in severe distress. Gynecological and instrumental examinations showed a pelvic mass of 7 cm in diameter. The preoperative diagnosis was uterine fibroid, but the exact location of the leiomyoma was uncertain. Laparoscopic examination showed a pedunculated retroperitoneal cervical leiomyoma in the left pararectal space. After surgical excision of the mass, normal sexual activity was restored.Summary and Conclusion: When a teen experiences pain with intercourse, pelvic masses should be part of differential diagnosis of dyspareunia.
Dyspareunia in a Teenager Reveals a Rare Occurrence: Retroperitoneal Cervical Leiomyoma of the Left Pararectal Space / Giannella, Luca; Mfuta, Kabala; Tuzio, Antonella; Cerami, Lillo Bruno. - In: JOURNAL OF PEDIATRIC AND ADOLESCENT GYNECOLOGY. - ISSN 1083-3188. - 29:1(2016). [10.1016/j.jpag.2015.08.005]