title: Ectopic Pelvic Fibroid in a Woman With Uterine Agenesis and Mayer-Rokitansky-Küster-Hauser Syndrome.
abstract: Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a rare disorder characterized by aplasia or hypoplasia of the uterus and vagina due to arrest in the development of the müllerian ducts. Women with this syndrome have the normal 46 XX karyotype, normal female secondary sex characteristics, and primary amenorrhea. Only a few cases have been described in the literature where a fibroid develops from a rudimentary, nonfunctioning uterus in patients with MRKH syndrome. In even rarer instances, a fibroid can develop in patients with a congenitally absent uterus.Here, we present the first reported case of an ectopic fibroid in association with congenital absence of a uterus found by ultrasound in a 66-year-old white female patient with MRKH syndrome and unilateral renal agenesis.
authors.affiliation: *Department of Radiology, Faculty of Health Sciences, College of Medicine, University of Manitoba; and †Ultrasound Department, Radiology and Diagnostic Imaging, St Boniface General Hospital, Winnipeg, Manitoba, Canada.
authors.forename: Thelina
authors.initials: T
authors.lastname: Amaratunga
authors.forename: Iain
authors.initials: I
authors.lastname: Kirkpatrick
authors.forename: Yi
authors.initials: Y
authors.lastname: Yan
authors.forename: Fern
authors.initials: F
authors.lastname: Karlicki
mesh_terms: D058489:46, XX Disorders of Sex Development / Q000150:complications / Q000000981:diagnostic imaging*; D000015:Abnormalities, Multiple / Q000000981:diagnostic imaging*; D000368:Aged; D000013:Congenital Abnormalities / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000150:complications / Q000000981:diagnostic imaging*; D009095:Mullerian Ducts / Q000002:abnormalities* / Q000000981:diagnostic imaging; D010388:Pelvis / Q000000981:diagnostic imaging; D014463:Ultrasonography / Q000379:methods*; D014564:Urogenital Abnormalities / Q000150:complications / Q000000981:diagnostic imaging*; D014599:Uterus / Q000002:abnormalities* / Q000000981:diagnostic imaging