Azar Ahmadzadeh
1 
, Shaghayegh Sherafatmand
2, Mina Mohtadi
3, Mohammad Momen Gharibvand
3* , Mohammad Bahadoram
41 Department of Gynecology and Obstetrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2 Department of Surgery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
3 Department of Radiology, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
4 Thalassemia and Hemoglobinopathy Research Center, Research Institute of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Abstract
Primary vaginal squamous cell carcinoma (SCC) is one of the rarest kinds of cancer in gynecological cancer. We report a 40-year-old presented with abdominal pain in her right lower quadrant with past-medical history of vaginal cuff SCC without any metastasis about 2.5 years ago which was treated with a combination of surgery and radiotherapy. Ultrasonography and abdomino–pelvic CT scan suggested an inflammatory phlegmon in RLQ probably due to a complicated appendicitis or malignancy. Ultrasonography-guided biopsy was performed which showed a poor differentiated SCC. Chest and abdominopelvic CTs showed no metastasis. Patients underwent laparotomy and ileocecal resection then end-to-end anastomosis was performed. A study of specimens showed a non-keratinizing SCC.