Incidental Finding of Leiomyoma in Mayer-Rokitansky-Kuster-Hauser Syndrome

Ibidapo-Obe, Oyetokunbo; Okudo, Jerome; Filani, Oladunni

doi:10.1177/23247096211014690

Cited by 2 publications

(1 citation statement)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thus, fibroids can originate even in hypoplastic uterus and from mullerian remenents. 4 Blontzos et al reviewed medical literature of 35 patients with MRKH and leiomyoma. The origin of leiomyoma in MRKH patients was the uterine remnant in 65% of patients.…”

Section: Introductionmentioning

confidence: 99%

A rare case of broad ligament fibroid in Mayer-Rokitansky-Küster-Hauser syndrome

Choudhary

Takkar

Pandher

et al. 2023

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Mayer-Rokitansky Kuster Hauser (MRKH) syndrome with lieomyoma is a rare disorder. Women with this syndrome have normal 46 XX karyotype, normal secondary sex characteristics and primary amenorrhea. There is a scarcity of cases in the literature where fibroid develops in women suffering from MRKH syndrome. Here, we present a case of an ectopic broad ligament fibroid found in a 41-year-old woman with MRKH syndrome type II. A 41-year-old married nulliparous female diagnosed with MRKH syndrome 20 years back, presented with an abdominal mass. Trans-abdominal ultrasound suggested a large mass on right side arising from paracolic area with heterogeneous echo texture. However, the ovarian vs leiomyoma origin of mass was of diagnostic dilemma. CEMRI confirmed the same findings and ruled out ovarian origin of the mass along with the presence of rudimentary uterus. Following this, the patient was taken for laparotomy followed by total abdominal hysterectomy with bilateral salpingoopherectomy, the fibroid was found to be arising from broad ligament and was removed along with the hypoplastic uterus and bilateral Fallopian tubes and ovaries. The case we presented exhibits the development of leiomyomas in patients with MRKH syndrome, although rare, is always a possibility and should be kept in mind as a differential diagnosis while evaluating an abdominopelvic mass. MRI is an accurate modality both for delineating the mass, confirming its origin as well as diagnosing MRKH syndrome.

show abstract

Section: Introductionmentioning

confidence: 99%

A rare case of broad ligament fibroid in Mayer-Rokitansky-Küster-Hauser syndrome

Choudhary

Takkar

Pandher

et al. 2023

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

show abstract

Huge Leiomyomas Arising from Bilateral Uterine Remnants in a Mayer–Rokitansky-Küster-Hauser Syndrome Patient with Coexisting Myotonic Dystrophy Type 1: A Case Report and Literature Review

Azuma,

Yamamoto,

Matsumoto

et al. 2023

Case Reports in Obstetrics and Gynecology

View full text Add to dashboard Cite

Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS) is a rare congenital anomaly of the genital tract. Since the secretion of sex hormones from the ovaries is preserved, leiomyomas and adenomyomas, which are estrogen-dependent diseases, may develop from the uterine remnant. In contrast, patients with myotonic dystrophy type 1 (DM1), the most common dystrophy in adults, are considered to be at high risk for benign tumors of the female reproductive system, such as uterine leiomyomas and ovarian cysts. A rare case of huge leiomyomas arising from bilateral uterine remnants in a woman with MRKHS with coexisting DM1 is presented. Her chief complaint was abdominal distension. On pelvic magnetic resonance imaging (MRI), two solid pelvic masses showing low signal intensity on T2-weighted imaging were seen. Both the uterine corpus and cervix were unclear, but bilateral ovaries were observed normally on MRI. Two uterine leiomyoma-like masses connected by a band of fibrous tissue were found by laparotomy. As with the MRI findings, the uterine cervix and vagina could not be detected macroscopically. Normal bilateral adnexa and round ligaments were identified. All of her symptoms improved after hysterectomy.

show abstract

Incidental Finding of Leiomyoma in Mayer-Rokitansky-Kuster-Hauser Syndrome

Cited by 2 publications

References 15 publications

A rare case of broad ligament fibroid in Mayer-Rokitansky-Küster-Hauser syndrome

A rare case of broad ligament fibroid in Mayer-Rokitansky-Küster-Hauser syndrome

Huge Leiomyomas Arising from Bilateral Uterine Remnants in a Mayer–Rokitansky-Küster-Hauser Syndrome Patient with Coexisting Myotonic Dystrophy Type 1: A Case Report and Literature Review

Contact Info

Product

Resources

About