Adenomyosis in a uterine horn of a patient with Mayer-Rokitansky-Kuster-Hauser syndrome

Ana Marta Pinto, Ana Cláudia Santos, Nuno Oliveira, Mário Cézar de Oliveira, Mário Oliveira
BMJ case reports · 2022 · vol. 15(2) , pp. e244127 · doi:10.1136/bcr-2021-244127 · PMID:35131769 · PMC8823049 · W4210901402
article OA: green CC0 ⤵ 2 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This case report describes the laparoscopic removal and histopathological identification of adenomyosis within a rudimentary uterine horn in a patient with Mayer-Rokitansky-Kuster-Hauser syndrome.

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Abstract

A 37-year-old woman with a previous diagnosis of Mayer-Rokitansky-Kuster-Hauser syndrome at 18 years of age was referred from a primary healthcare physician to a gynaecology appointment in our centre. She presented with a 2-year worsening pelvic pain and dyspareunia, symptoms that were previously absent and, at the time, with inadequate relief with oral analgesia. Physical examination showed absent uterine cervix and hypoplastic superior vagina. Transvaginal ultrasound and MRI suggested the presence of an hypoplasic uterus in left rotation. Laparoscopically, two asymmetric rudimentary horns were found, united by a fibrous central band, with an enlarged and congestive left horn. The three structures were removed as a whole. Histopathological examination reported the presence of multiple adenomyotic foci along the full thickness of the left rudimentary horn. The patient had an uneventful postoperative recovery and full remission of her symptoms.

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Condition tags

adenomyosisdyspareunia

MeSH descriptors

46, XX Disorders of Sex Development 46, XX Disorders of Sex Development 46, XX Disorders of Sex Development Adenomyosis Adenomyosis Adenomyosis Mullerian Ducts Adult Congenital Abnormalities Female Humans Mullerian Ducts Mullerian Ducts Uterus Uterus Uterus Vagina Vagina Vagina

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (25)

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