title: Leiomyoma Arising from Mullerian Remnant, Mimicking Ovarian Tumor in a Woman with MRKH Syndrome and Unilateral Renal Agenesis.
abstract: BACKGROUND
  Leiomyoma with secondary changes arising from Mullerian remnant may mimic ovarian tumor in women with Mayer-Rockitansky-Kuster-Hauser (MRKH) syndrome in patients with pelvic mass and urologic abnormalities.
  
  
  METHODS
  The patient was a 40 years old known case of MRKH, presented with lower abdominal pain and swelling for over one year. On physical examination, large pelvic mass (about 15cm by 10cm) was found and a diagnosis of ovarian tumor was made by imaging which also showed absent right kidney. Finally, the mass was found to be a big leiomyoma with areas of hyaline, edematous and cystic degenerations.
  
  
  CONCLUSIONS
  Although leiomyoma arising from rudimentary Mullerian bulb is a rare condition, it should be considered in differential diagnosis of pelvic mass in patients with MRKH. Possibility of urologic abnormalities should also be considered in these patients and appropriate work up per local context should be made.
authors.affiliation: Department of Obstetrics and Gynecology, Jimma University, Jimma, Ethiopia.
authors.forename: Wubishet
authors.initials: W
authors.lastname: Girma
authors.affiliation: Department of Obstetrics and Gynecology, Jimma University, Jimma, Ethiopia.
authors.forename: Wondimagegnehu
authors.initials: W
authors.lastname: Woldeyes
mesh_terms: D058489:46, XX Disorders of Sex Development / Q000150:complications*; D000328:Adult; D000013:Congenital Abnormalities; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007668:Kidney / Q000002:abnormalities*; D007674:Kidney Diseases / Q000150:complications / Q000151:congenital*; D007889:Leiomyoma / Q000150:complications / Q000175:diagnosis*; D009095:Mullerian Ducts / Q000002:abnormalities*; D010051:Ovarian Neoplasms / Q000150:complications / Q000175:diagnosis*; D014564:Urogenital Abnormalities / Q000150:complications
keywords: Leiomyoma; Mayer-Rockitansky-Kuster-Hauser syndrome; Mullerian remnant; renal agenesis