title: Three-dimensional computed tomography of pelvic masses in Mayer-Rokitansky-Küster-Hauser syndrome.
abstract: BACKGROUND
  Mayer-Rokitansky-Küster-Hauser syndrome is a rare congenital anomaly characterized by congenital aplasia or hypoplasia of the uterus and vagina. We report a case of Mayer-Rokitansky-Küster-Hauser syndrome with multiple large pelvic masses diagnosed by three-dimensional computed tomography (CT) angiography.
  
  
  METHODS
  A 40-year-old woman with Mayer-Rokitansky-Küster-Hauser syndrome presented with an abdominal mass that had grown for 3 months. Magnetic resonance imaging (MRI) confirmed several solid masses, and normal bilateral ovaries were detected; three-dimensional CT revealed that these tumors were supplied from the right ovarian and uterine arteries, suggesting that they arose from the uterus. Accordingly, leiomyoma was suspected. Laparoscopic surgery was contraindicated, and the patient therefore underwent laparotomy. The masses were resected with the bilateral rudimentary uteri and fallopian tubes, and pathologic evaluation confirmed leiomyoma.
  
  
  CONCLUSIONS
  Combined MRI and three-dimensional CT angiography can accurately evaluate the origin and anatomic properties of leiomyomas in patients with Mayer-Rokitansky-Küster-Hauser syndrome.
authors.affiliation: Department of Obstetrics and Gynecology, Yamagata University Faculty of Medicine, Yamagata, and Osaka Medical Center and Research Institute for Maternal and Child Health, Osaka, Japan.
authors.forename: Ayumi
authors.initials: A
authors.lastname: Hasegawa
authors.forename: Hideki
authors.initials: H
authors.lastname: Igarashi
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Ohta
authors.forename: Hirohisa
authors.initials: H
authors.lastname: Kurachi
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Takahashi
mesh_terms: D058489:46, XX Disorders of Sex Development / Q000150:complications* / Q000000981:diagnostic imaging; D000328:Adult; D000792:Angiography; D000013:Congenital Abnormalities / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D007889:Leiomyoma / Q000098:blood supply / Q000000981:diagnostic imaging*; D009095:Mullerian Ducts / Q000002:abnormalities* / Q000000981:diagnostic imaging; D010386:Pelvic Neoplasms / Q000098:blood supply / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed