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Wendell Downing, M.D.
JAMA. 1932;98(14):1157-1158. doi:10.1001/jama.1932.27320400001009a.
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The occurrence of a tumor beneath the base of the bladder causing an anterior colpocele is very rare, judging by an extensive review of the literature. When such tumors do occur, they are usually fibromas or myomas. In the following case a fibromyoma produced an anterior colpocele, and a mistaken diagnosis of cystocele was made as it was noticed soon after labor.

A white woman, aged 23, with a negative past history, entered the hospital, May 23, 1931. The patient had her first labor, June 10, 1928. The delivery was normal and a slight perineal tear was sutured. About two months after the labor she first began to notice a bulging of the anterior vaginal wall when straining or when on her feet. The swelling could easily be pushed back, but it slowly became larger and inconvenienced her when on her feet. There were no urinary symptoms except for slight


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