Case report and surgical solution for a voluminous uterine leiomyoma in a woman with complicated Mayer-Rokitansky-Küster-Hauser syndrome

Fertil Steril. 2008 Nov;90(5):2014.e5-6. doi: 10.1016/j.fertnstert.2008.04.061.

Abstract

Objective: To describe a case of leiomyoma in a patient with Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome.

Design: Case report.

Setting: Department of Obstetrics and Gynecology, "Sacra Famiglia Hospital," Novafeltria, Italy.

Patient(s): A 47-year-old woman with MRKH syndrome with lower abdominal pain and pelvic tumescence.

Intervention(s): Surgery.

Main outcome measure(s): Results on ultrasound scan and magnetic resonance imaging.

Result(s): A pelvic leiomyoma originating from uterine remnant; resection of the mass was performed.

Conclusion(s): Even though magnetic resonance imaging is useful for the diagnosis of leiomyoma of the rudimentary uterus in MRKH syndrome, surgery might be the only definitive solution. Removal of the opposite uterine remnant could also be proposed.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / etiology
  • Abdominal Pain / surgery
  • Abnormalities, Multiple*
  • Female
  • Gynecologic Surgical Procedures*
  • Humans
  • Leiomyoma / etiology
  • Leiomyoma / pathology
  • Leiomyoma / surgery*
  • Middle Aged
  • Mullerian Ducts / abnormalities
  • Syndrome
  • Treatment Outcome
  • Uterine Neoplasms / etiology
  • Uterine Neoplasms / pathology
  • Uterine Neoplasms / surgery*
  • Uterus / abnormalities
  • Uterus / surgery*