{"paper_id":"04c3962c-0636-43b0-8c88-edd83ffdfab2","body_text":"A case of rudimentary uterine horns with cervical agenesis with intramural fibroid and bilateral endometrioma\nDOI:\nhttps://doi.org/10.18203/2320-1770.ijrcog20252755Keywords:\nMullerian anomaly, Rudimentary horn, Fibroid, EndometriomaAbstract\nThe objective of the study was to report a case of rudimentary horns of cervical agenesis with intramural fibroid and bilateral endometrioma. A 35-year-old nulligravida with a rare Mullerian anomaly of uterus, cervix and vagina with coexisting fibroid and endometrioma. A definite diagnosis and resection of Mullerian structure and endometrioma. This reports a rare case of occurrence of benign tumor of mesenchymal origin from a non-functioning uterine horn along with features of degeneration with cervical agenesis along with presence of bilateral ovarian endometrioma reinforcing the possibility of coelomic metaplasia theory of its origin.\nMetrics\nReferences\nGasner A, Rehman A. Primary Amenorrhea. 2023. In: StatPearls. Treasure Island (FL): StatPearls Publishing. 2025.\nBortoletto P, Romanski PA, Pfeifer SM. Müllerian Anomalies: Presentation, Diagnosis, and Counseling. Obstet Gynecol. 2024;143(3):369-77. DOI: https://doi.org/10.1097/AOG.0000000000005469\nMorcel K, Camborieux L; Programme de Recherches sur les Aplasies Müllériennes; Guerrier D. Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome. Orphanet J Rare Dis. 2007;2:13. DOI: https://doi.org/10.1186/1750-1172-2-13\nTsakos E, Xydias EM, Emmanouil V, Ziogas AC, Tsagias N. Management of a Uterine Fibroid Originating From a Rudimentary Horn in a Patient With Mayer-Rokitansky-Küster-Hauser Syndrome: Report of a Rare Case. Cureus. 2025;17(2):e78598. DOI: https://doi.org/10.7759/cureus.78598\nTroncon JK, Zani AC, Vieira AD, Poli-Neto OB, Nogueira AA, Rosa-E-Silva JC. Endometriosis in a patient with mayer-rokitansky-küster-hauser syndrome. Case Rep Obstet Gynecol. 2014;2014:376231. DOI: https://doi.org/10.1155/2014/376231\nMiao Y, Wen J, Huang L, Wu J, Zhao Z. Diagnosis and Management of Ovarian Tumor in Mayer-Rokitansky-Küster-Hauser (MRKH) Syndrome. Biomed Res Int. 2018;2018:2369430. DOI: https://doi.org/10.1155/2018/2369430\nRamesh B, Shivalingappa, Konda NM, Suryanarayana P. Presence of fibroids in the absence of uterus- Mayer-Rokitansky-Küster-Hauser syndrome with fibroids: a case report. Int J Reprod Contracept Obstet Gynecol. 2023;12(6):1938-40. DOI: https://doi.org/10.18203/2320-1770.ijrcog20231589\nMukherji J, Ganguly RP, Seal SL. Fibroid uterus. In Basics of Gynaecology For Examinees. 3rd edition. 2025;395-421.\nNezhat FR, Cathcart AM, Nezhat CH, Nezhat CR. Pathophysiology and Clinical Implications of Ovarian Endometriomas. Obstet Gynecol. 2024;143(6):759-66. DOI: https://doi.org/10.1097/AOG.0000000000005587\n.Goluda M, St Gabryś M, Ujec M, Jedryka M, Goluda C. Bicornuate rudimentary uterine horns with functioning endometrium and complete cervical-vaginal agenesis coexisting with ovarian endometriosis: a case report. Fertil Steril. 2006;86(2):462. DOI: https://doi.org/10.1016/j.fertnstert.2005.12.064\nAmer S, Bazmi S. HRT in WomenUndergoing Pelvic Clearance for Endometriosis A Case Report and a National Survey. J Clin Med. 2023;12:336. DOI: https://doi.org/10.3390/jcm12010336","source_license":"CC0","license_restricted":false}