A rare case of multiple leiomyomas on rudimentary uterus in a woman with Mayer Rokitansky Kuster Hauser (MRKH) syndrome: A challenging diagnosis and laparoscopic approach

Harzif, Achmad Kemal; Ambalagen, Sonia; Charilda, Fistyanisa Elya; Mutia, Heidi Dewi

doi:10.1016/j.ijscr.2021.105711

Cited by 5 publications

(6 citation statements)

References 13 publications

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“…Apparently, there are only 27 cases described of uterine leiomyoma in MRKH not complicated by acute abdomen ( Table 1 ) [ 2 , 3 , 4 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 ]. The average age at the time of diagnosis was 41.8 years.…”

Section: Resultsmentioning

confidence: 99%

The Rare, Unexpected Condition of a Twisted Leiomyoma in Mayer-Rokitansky-Küster-Hauser (MRKH) Syndrome: Etiopathogenesis, Diagnosis and Management. Our Experience and Narrative Review of the Literature

Romano

Carlucci

Stabile

et al. 2021

IJERPH

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Uterine leiomyomas are a common finding in medical practice, but their frequency changes drastically when contextualized in a syndrome, as in the following case. A 50-year-old woman with a known Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome presented at our clinic with abdominal pain located in the lower quadrants and scarcely responsive to analgesic therapy. A twisted gynecological pelvic mass was diagnosed, and management for prompt resolution was adopted. Histologically the mass was described as a leiomyoma. The aim of the present study is to share our experience and to review the literature to compare different manifestation of the disease and different approach used in the various centers. The additional novelty of the paper is the immunohistochemical study we carried out on the leiomyoma that is contrasted with the current etiopathogenetic theories.

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Section: Resultsmentioning

confidence: 99%

The Rare, Unexpected Condition of a Twisted Leiomyoma in Mayer-Rokitansky-Küster-Hauser (MRKH) Syndrome: Etiopathogenesis, Diagnosis and Management. Our Experience and Narrative Review of the Literature

Romano

Carlucci

Stabile

et al. 2021

IJERPH

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“…However, currently, there is no consensus on the treatment methods. In the most cases, resection of the entire uterus in asymptomatic patients to prevent recurrence15 16 and removal of the entire uterus in symptomatic patients are preferred. In addition to our case, only four other cases of tumour removal alone have been reported 12 17 18.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic intervention for solid pelvic tumours in Mayer-Rokitansky-Küster-Hauser syndrome: a case of bilateral uterine adenomyomas of the rudimentary uterus

et al. 2023

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Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome, a condition caused by Müllerian anomalies, is characterised by congenital vaginal aplasia and a rudimentary uterus. Case reports concerning uterine fibroids associated with MRKH syndrome are limited, and differentiating between uterine fibroids and ovarian solid tumours prior to surgical intervention is often challenging. Here, we present the case of a patient with MRKH syndrome and asymptomatic bilateral pelvic solid tumours located close to both ovaries. Based on intraoperative and histopathological findings, the tumours were diagnosed as adenomyomas of the rudimentary uterus. This is the first reported case of a uterine adenomyoma associated with MRKH syndrome. Moreover, our report highlights the fact that diagnostic laparoscopy is a valuable method to evaluate pelvic tumours in MRKH syndrome.

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“…In our case, the surgery was performed laparoscopically, which is a common approach for surgical excision and confirmation of diagnosis [6] . Laparotomy is an available option when surgical experience with laparoscopy is limited and/or if malignancy is suspected [13] , [14] , [15] . Though we are presenting a case report that has its own limitations, we believe that our case is one of very few cases of obliterated rudimentary horn that contains extensive adenomyosis, more cases and papers would benefit better understanding of this complex pathology.…”

Section: Discussionmentioning

confidence: 99%

Acute late presentation of a functioning non-communicating rudimentary uterine horn containing an adenomyosis: A case report

Alsahabi

Alsary²,

Safwat³

et al. 2022

Radiology Case Reports

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A rare case of multiple leiomyomas on rudimentary uterus in a woman with Mayer Rokitansky Kuster Hauser (MRKH) syndrome: A challenging diagnosis and laparoscopic approach

Cited by 5 publications

References 13 publications

The Rare, Unexpected Condition of a Twisted Leiomyoma in Mayer-Rokitansky-Küster-Hauser (MRKH) Syndrome: Etiopathogenesis, Diagnosis and Management. Our Experience and Narrative Review of the Literature

The Rare, Unexpected Condition of a Twisted Leiomyoma in Mayer-Rokitansky-Küster-Hauser (MRKH) Syndrome: Etiopathogenesis, Diagnosis and Management. Our Experience and Narrative Review of the Literature

Laparoscopic intervention for solid pelvic tumours in Mayer-Rokitansky-Küster-Hauser syndrome: a case of bilateral uterine adenomyomas of the rudimentary uterus

Acute late presentation of a functioning non-communicating rudimentary uterine horn containing an adenomyosis: A case report

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