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Leiomyomas in both uterine remnants in a woman with the Mayer-Rokitansky-Küster-Hauser syndrome

2008; Elsevier BV; Volume: 91; Issue: 3 Linguagem: Inglês

10.1016/j.fertnstert.2008.08.132

1556-5653

Marta Lamarca, Ricardo Dizioli Navarro, María Eugenia Ballesteros, Salvador García-Aguirre, María Pilar Conte, José Antonio Alarcón Duque,

Endometriosis Research and Treatment

ObjectiveTo describe a case of Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome associated with bilateral myomas in uterine remnants.DesignCase report.SettingUniversity hospital.Patient(s)A 35-year-old woman with MRKH syndrome and pelvic pain, in whom leiomyomas were diagnosed by imaging techniques.Intervention(s)Diagnostic laparoscopy followed by excision of leiomyomas and uterine remnants by laparotomy.Main Outcome Measure(s)Resolution of symptoms and histologic confirmation of the clinic diagnosis.Result(s)After a 6-month follow-up period, the patient was asymptomatic. The histologic examination confirmed MRKH syndrome associated with multiple myomas in both rudimentary uteri.Conclusion(s)This is an unusual case of MRKH syndrome associated with bilateral leiomyomas. The excision of the tumors with the adjacent uterine remnants is indicated when they are symptomatic. To describe a case of Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome associated with bilateral myomas in uterine remnants. Case report. University hospital. A 35-year-old woman with MRKH syndrome and pelvic pain, in whom leiomyomas were diagnosed by imaging techniques. Diagnostic laparoscopy followed by excision of leiomyomas and uterine remnants by laparotomy. Resolution of symptoms and histologic confirmation of the clinic diagnosis. After a 6-month follow-up period, the patient was asymptomatic. The histologic examination confirmed MRKH syndrome associated with multiple myomas in both rudimentary uteri. This is an unusual case of MRKH syndrome associated with bilateral leiomyomas. The excision of the tumors with the adjacent uterine remnants is indicated when they are symptomatic.