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

doi:10.1016/j.fertnstert.2008.04.061

Fertility and Sterility

Volume 90, Issue 5, November 2008, Pages 2014.e5-2014.e6

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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.

Key Words

Leiomyoma

Mayer-Rokitansky-Küster-Hauser syndrome

uterine remnant

surgery

Cited by (0)

: G.P. has nothing to disclose. M.A. has nothing to disclose. R.C. has nothing to disclose. I.C. has nothing to disclose. S.R.G. has nothing to disclose. A.L.T. has nothing to disclose.