Massive Cystic Degeneration of a Uterine Leiomyoma in a Patient with Autosomal Dominant Polycystic Kidney Disease

Takuji Tomimatsu, Mika Sugihara, Takafumi Nakamura, Naoki Kashihara, Koichiro Shimoya
In: Gynecologic and Obstetric Investigation · 2015 · vol. 79(3) , pp. 168–171 · doi:10.1159/000369996 · PMID:25660428 · W2000893023
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Abstract

BACKGROUND: A uterine cyst occurring as an extrarenal manifestation of autosomal dominant polycystic kidney disease (ADPKD) is extremely rare. CASE: A 46-year-old Japanese woman was referred with a large abdominal mass causing severe abdominal distension. A large uterine cyst as an extrarenal manifestation of ADPKD was strongly suspected. First, we managed this patient by aspirating the cyst fluid through a small laparotomy. A year later, the cyst recurred and the patient underwent hysterectomy. Massive cystic degeneration of a uterine leiomyoma was diagnosed histologically. CONCLUSION: We described the rare case of massive cystic degeneration of a uterine leiomyoma in a patient with ADPKD, in which a causal relationship was suspected.

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