title: Imaging of leiomyomas arising from Müllerian remnants in a case of Mayer-Rokitansky-Küster-Hauser syndrome.
abstract: Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a rare congenital abnormality characterised by varying degrees of aplasia or hypoplasia of the uterus and vagina. Very rarely, leiomyomas or adenomyosis can develop in the Müllerian remnant tissue or rudimentary uterus. We present a case of a 43-year-old woman with MRKH syndrome, who presented with primary amenorrhoea and lower abdominal pain. On examination, a large pelvic mass was palpated and a provisional diagnosis of ovarian tumour was made. MRI showed multiple large leiomyomas arising from the Müllerian remnant tissue, and chronic torsion of the right ovary.
authors.affiliation: Department of Radiodiagnosis, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
authors.forename: Ramakrishna
authors.initials: R
authors.lastname: Narayanan
authors.affiliation: Department of Radiodiagnosis, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
authors.forename: Supritha
authors.initials: S
authors.lastname: Mariappan
authors.affiliation: Department of Radiodiagnosis, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
authors.forename: SanthanaKumar
authors.initials: S
authors.lastname: Paulraj
authors.affiliation: Department of Radiodiagnosis, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
authors.forename: Balasubramanyam
authors.initials: B
authors.lastname: Shankar
mesh_terms: D058489:46, XX Disorders of Sex Development / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D015746:Abdominal Pain / Q000175:diagnosis / Q000000981:diagnostic imaging; D000328:Adult; D000568:Amenorrhea / Q000175:diagnosis / Q000000981:diagnostic imaging; D000013:Congenital Abnormalities / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007889:Leiomyoma / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D009095:Mullerian Ducts / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery; D010051:Ovarian Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D035583:Rare Diseases; D016896:Treatment Outcome; D014463:Ultrasonography