Uterine leiomyoma in a patient suffering from Mayer-Rokitansky-Küster-Hauser syndrome. A case report

Authors

  • Mario Arturo González Mariño
  • Mario Pérez-Solano

DOI:

https://doi.org/10.18597/rcog.260

Keywords:

leiomyoma, Mayer-Rokitansky-Küster-Hauser syndrome, uterus

Abstract

Objective: Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a congenital malformation of the uterus and the upper part of the vagina in females having normal secondary sexual characteristics and karyotype 46 XX. Complete uterine aplasia could happen in the presence of two rudimentary horns or symmetric or asymmetric uterine hypoplasia accompanied by aplasia of one or two horns. The appearance of tumours in uterine rudiments is not often described. This case is presented following a review of the literature regarding an association between uterine leiomyoma and MRKH syndrome.

Materials and methods: a case has been presented and a search was made through MEDLINE on the PubMed page using the terms "leiomyoma" and "Mayer-Rokitansky-Küster-Hauser syndrome". 8 references were obtained; 7 of them were identified as being pertinent and included in the review. A manual search was also made of publications related to the base pathology.

Conclusion: finding a leiomyoma in an uterine remnant in MRKH syndrome is very rare; there are very few publications about it in the pertinent medical literature. It was preferred to carry out laparotomy given the size of the tumour in this patient who had a diagnostic impression of uterine leiomyoma, the pathology being reported by biopsy freezing and the definitive as leiomyoma.

Author Biographies

Mario Arturo González Mariño

Médico Ginecólogo y Oncólogo. Profesor catedrático asociado, Facultad de Medicina, Universidad Nacional de Colombia. Profesor, Facultad de Medicina, Fundación Universitaria San Martín. Médico, Hospital Central de la Policía y Hospital Militar Central. Bogotá (Colombia).

Mario Pérez-Solano

Médico especialista en Ginecología y Obstetricia, Hospital Militar Central. Bogotá (Colombia).

References

Deligeoroglou E, Kontoravdis A, Makrakis E, Christopoulos P, Kountouris A, Creatsas G. Development of leiomyomas on the uterine remnants of two women with Mayer-Rokitansky-Küster-Hauser syndrome. Fertil Steril 2004;81:1385-7.

Hickey M, Balen A. Menstrual disorders in adolescence: investigation and management. Hum Reprod Update 2003;9:493-504.

Barbosa G, Varela-Guzmán M. Adolescente con síndrome de Mayer-Von Rokitansky-Küster-Hauser: la importancia de un manejo integral multidisciplinario. Rev Colomb Obstet Ginecol 2006;57:305-11.

Folch M, Pigem I, Konje JC. Müllerian agenesis: etiology, diagnosis, and management. Obstet Gynecol Surv 2000;55:644-9.

Cantini JE, Jaramillo R, Parra SA, Casasbuenas A. Reconstrucción vaginal con técnica modificada de McIndoe. Experiencia de 18 años en el hospital de San José, Bogotá D.C. Colombia. Repert med cir 2005;14:181-91.

Fedele L , Bianchi S, Frontino G, Ciappina N, Fontana E, Borruto F. Laparoscopic findings and pelvic anatomy in Mayer-Rokitansky-Küster-Hauser Syndrome. Obstet Gynecol 2007;109:1111-5.

Laufer MR. Congenital absence of the vagina: in search of the perfect solution. When, and by what technique, should a vagina be created? Curr Opin Obstet Gynecol 2002;14:441-4.

Bidus MA, Martin JM Jr, Magann E. Mayer-Rokitansky-Küster-Hauser syndrome presenting as an inguinal mass and hernia in the female patient. Journal of pelvic medicine & surgery 2004;10:193-5.

Beecham CT, Skiendzielewski J. Myoma in association with Mayer-Rokitansky-Küster syndrome. Am J Obstet Gynecol 1977;129:346-8.

Papa G, Andreotti M, Giannubilo SR, Cesari R, Ceré I, Tranquilli AL. Case report and surgical solution for a voluminous uterine leiomyoma in a woman with complicated Mayer-Rokitansky-Küster-Hauser syndrome. Fertil Steril 2008;90:2014.e5-6.

Ito Y, Komori S, Horiuchi I, Kinuta T, Hori M, Wada C, et al. Solid pelvic tumor in a woman with Mayer-Rokitansky-Küstner-Hauser syndrome. Arch Gynecol Obstet 2006;274:252-4.

Tsin DA, Waters TK, Granato RC. Laparoscopic myomectomy in a patient with Mayer-Rokitansky-Küster-Hauser syndrome. J Am Assoc Gynecol Laparosc 2000;7:411-3.

Lamarca M, Navarro R, Ballesteros ME, García-Aguirre S, Conte MP, Duque JA. Leiomyomas in both uterine remnants in a woman with the Mayer-Rokitansky-Küster-Hauser syndrome. Fertil Steril 2009;91:931.e13-5.

Galajdova L, Verbeken K, Dhont M. Recurrent multiple leiomyomata in a patient with Mayer-Rokitansky-Küster-Hauser syndrome. J Obstet Gynaecol 2003;23:448-9.

Edmonds DK. Multiple fibroids in a postmenopausal woman with Mayer-Rokitansky Kuster Hauser Syndrome. J Pediatr Adolesc Gynecol 2003;16:65-6.

Rhee CS, Kim JS, Woo SK, Suh SJ. MRI of round ligament leiomyoma associated with Mayer-Rokitansky-Kuster-Hauser syndrome. Abdom Imaging 1999;24:202-4.

How to Cite

1.
González Mariño MA, Pérez-Solano M. Uterine leiomyoma in a patient suffering from Mayer-Rokitansky-Küster-Hauser syndrome. A case report. Rev. colomb. obstet. ginecol. [Internet]. 2010 Dec. 20 [cited 2024 May 16];61(4):359-62. Available from: https://revista.fecolsog.org/index.php/rcog/article/view/260

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2010-12-20
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