Rare Case of Leiomyoma and Adenomyosis in Mayer-Rokitansky-Kuster-Hauser Syndrome
We report a case of adenomyosis which developed from a hypoplastic uterus and leiomyoma in a patient with MRKH syndrome. A 45-year-old Malay female with primary amenorrhoea and primary infertility presented with abdominal mass and abdominal pain. She is phenotypically female, has well developed seco...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2016-01-01
|
| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2016/3725043 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832555518307074048 |
|---|---|
| author | P. S. Hoo A. R. Norhaslinda J. N. Shah Reza |
| author_facet | P. S. Hoo A. R. Norhaslinda J. N. Shah Reza |
| author_sort | P. S. Hoo |
| collection | DOAJ |
| description | We report a case of adenomyosis which developed from a hypoplastic uterus and leiomyoma in a patient with MRKH syndrome. A 45-year-old Malay female with primary amenorrhoea and primary infertility presented with abdominal mass and abdominal pain. She is phenotypically female, has well developed secondary sexual characteristics, and has normal female external genitalia with shallow vagina dimple. Transabdominal ultrasonography showed a homogenous adnexal mass of 10 × 8 cm, uterus sized 5 × 4 cm, and normal kidneys. A complex mass of right adnexa was demonstrated by CT scan. Exploratory laparotomy showed torsion of right adnexal mass and rudimentary uterus with fibroid but no endometrial tissue and blind end with absent cervix. The normal right ovary and tube were not visualized. The left fallopian tube and ovary were normal. It is also complicated by vaginal agenesis. Removal of right adnexal mass and rudimentary uterus was done with preservation of left ovary. The histologic diagnosis was uterine adenomyosis and leiomyoma arising from the right adnexa, possibly from the broad ligament. |
| format | Article |
| id | doaj-art-2928bab695404660b757f57bda1aabfa |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-2928bab695404660b757f57bda1aabfa2025-02-03T05:47:59ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922016-01-01201610.1155/2016/37250433725043Rare Case of Leiomyoma and Adenomyosis in Mayer-Rokitansky-Kuster-Hauser SyndromeP. S. Hoo0A. R. Norhaslinda1J. N. Shah Reza2Obstetrics & Gynaecology Department, School of Medical Science, Universiti Sains Malaysia, Kubang Kerian, Kelantan, MalaysiaObstetrics & Gynaecology Department, School of Medical Science, Universiti Sains Malaysia, Kubang Kerian, Kelantan, MalaysiaObstetrics & Gynaecology Department, School of Medical Science, Universiti Sains Malaysia, Kubang Kerian, Kelantan, MalaysiaWe report a case of adenomyosis which developed from a hypoplastic uterus and leiomyoma in a patient with MRKH syndrome. A 45-year-old Malay female with primary amenorrhoea and primary infertility presented with abdominal mass and abdominal pain. She is phenotypically female, has well developed secondary sexual characteristics, and has normal female external genitalia with shallow vagina dimple. Transabdominal ultrasonography showed a homogenous adnexal mass of 10 × 8 cm, uterus sized 5 × 4 cm, and normal kidneys. A complex mass of right adnexa was demonstrated by CT scan. Exploratory laparotomy showed torsion of right adnexal mass and rudimentary uterus with fibroid but no endometrial tissue and blind end with absent cervix. The normal right ovary and tube were not visualized. The left fallopian tube and ovary were normal. It is also complicated by vaginal agenesis. Removal of right adnexal mass and rudimentary uterus was done with preservation of left ovary. The histologic diagnosis was uterine adenomyosis and leiomyoma arising from the right adnexa, possibly from the broad ligament.http://dx.doi.org/10.1155/2016/3725043 |
| spellingShingle | P. S. Hoo A. R. Norhaslinda J. N. Shah Reza Rare Case of Leiomyoma and Adenomyosis in Mayer-Rokitansky-Kuster-Hauser Syndrome Case Reports in Obstetrics and Gynecology |
| title | Rare Case of Leiomyoma and Adenomyosis in Mayer-Rokitansky-Kuster-Hauser Syndrome |
| title_full | Rare Case of Leiomyoma and Adenomyosis in Mayer-Rokitansky-Kuster-Hauser Syndrome |
| title_fullStr | Rare Case of Leiomyoma and Adenomyosis in Mayer-Rokitansky-Kuster-Hauser Syndrome |
| title_full_unstemmed | Rare Case of Leiomyoma and Adenomyosis in Mayer-Rokitansky-Kuster-Hauser Syndrome |
| title_short | Rare Case of Leiomyoma and Adenomyosis in Mayer-Rokitansky-Kuster-Hauser Syndrome |
| title_sort | rare case of leiomyoma and adenomyosis in mayer rokitansky kuster hauser syndrome |
| url | http://dx.doi.org/10.1155/2016/3725043 |
| work_keys_str_mv | AT pshoo rarecaseofleiomyomaandadenomyosisinmayerrokitanskykusterhausersyndrome AT arnorhaslinda rarecaseofleiomyomaandadenomyosisinmayerrokitanskykusterhausersyndrome AT jnshahreza rarecaseofleiomyomaandadenomyosisinmayerrokitanskykusterhausersyndrome |