Uterus didelphys with fibroid uterus and ovarian cyst--rare Muellerian malformation.
Persistent Muellerian duct syndrome is a very rare anomaly. A woman of 46-year-old was admitted with the history of lower abdominal pain, bleeding per vaginum and irregular menstrual cycles for last 6 months. An irregular non-tender mass of 16 x 10cm in size was palpable in suprapubic region. Per vaginal examination revealed two cervices and an incomplete vaginal septum. Ultrasound abdomen showed one uterus with endometrial cavity clearly delineated with a fibroid and an ovarian cyst in the left lumbar region. On laparotomy, 2 uterii along with a fibroid from the anterior wall of left uterus and a left ovarian cyst was seen. Patient had undergone total abdominal hysterectomy and adnexa removal. The specimen showed florid adenomyosis with leiomyoma of fibroid.
Bhattacharya
Kaushik
K
Department of Surgery, Sri Ramachandra Medical College and Research Institute, Chennai 600116.
Ramakrishnan
Ramya
R
Gopalan
T R
TR
Barua
Pushpalatha
P
Vijayaraghavan
Jaya
J
D002584:Cervix Uteri / Q000002:abnormalities* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000000981:diagnostic imaging* / Q000601:surgery; D008875:Middle Aged; D009095:Mullerian Ducts / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D010048:Ovarian Cysts / Q000000981:diagnostic imaging* / Q000601:surgery; D013577:Syndrome; D014463:Ultrasonography; D014594:Uterine Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery*