A Holstein cow, immediately after her third calving, vaginally prolapses a fleshy mass of approximately 20-25 cm. Upon palpation, the mass is firm and pedunculated, originating ventrally to the cervix at the 5 o'clock position. An Eco-FAST examination reveals poor vascularization of the pedicle and the globular mass, with inhomogeneous hyperechoic content.
Diagnostic suspicion: vaginal leiomyoma, a benign tumor that can originate from the smooth muscle of various hollow organs, such as the uterus, vagina, urinary bladder, and esophagus.
The decision is made to proceed with the surgical removal of the neoformation.
