OBJECTIVE: To report a rare case of a myoma simulating a pelvic tumor in a patient with Mayer-Rokitanski-Küster-Hauser (MRKH) syndrome. The rudimentary uterus may develop fibroids, and this event can lead to problems in differential diagnosis, especially if no vaginal reconstruction has been carried out. DESIGN: Case-report. SETTING: University hospital. PATIENT(S): A 39-year-old patient with MRKH syndrome presented with a solid pelvic mass 9 cm in diameter on ultrasound and magnetic resonance imaging that could not be differentiated between fibroid and ovarian tumor. INTERVENTION(S): The patient was laparoscopically operated, and a fibroid of the right uterine residual was detected and removed. RESULT(S): Histology confirmed a benign leiomyoma. CONCLUSION(S): In patients with MRKH syndrome, laparoscopy allows analysis of the origin of a solid pelvic tumor and its removal. Especially in patients without vaginal reconstruction, laparoscopy may be superior to imaging techniques.
OBJECTIVE: To report a rare case of a myoma simulating a pelvic tumor in a patient with Mayer-Rokitanski-Küster-Hauser (MRKH) syndrome. The rudimentary uterus may develop fibroids, and this event can lead to problems in differential diagnosis, especially if no vaginal reconstruction has been carried out. DESIGN: Case-report. SETTING: University hospital. PATIENT(S): A 39-year-old patient with MRKH syndrome presented with a solid pelvic mass 9 cm in diameter on ultrasound and magnetic resonance imaging that could not be differentiated between fibroid and ovarian tumor. INTERVENTION(S): The patient was laparoscopically operated, and a fibroid of the right uterine residual was detected and removed. RESULT(S): Histology confirmed a benign leiomyoma. CONCLUSION(S): In patients with MRKH syndrome, laparoscopy allows analysis of the origin of a solid pelvic tumor and its removal. Especially in patients without vaginal reconstruction, laparoscopy may be superior to imaging techniques.
Authors: Federico Romano; Stefania Carlucci; Guglielmo Stabile; Giuseppe Mirenda; Mariateresa Mirandola; Francesco Paolo Mangino; Andrea Romano; Giuseppe Ricci Journal: Int J Environ Res Public Health Date: 2021-05-31 Impact factor: 3.390