Imaging of leiomyomas arising from Müllerian remnants in a case of Mayer-Rokitansky-Küster-Hauser syndrome

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AI-generated summary by claude@2026-06, 2026-06-07

This case report details a 43-year-old woman with Mayer-Rokitansky-Küster-Hauser syndrome who was found to have multiple large leiomyomas arising from Müllerian remnant tissue on MRI.

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Abstract

Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a rare congenital abnormality characterised by varying degrees of aplasia or hypoplasia of the uterus and vagina. Very rarely, leiomyomas or adenomyosis can develop in the Müllerian remnant tissue or rudimentary uterus. We present a case of a 43-year-old woman with MRKH syndrome, who presented with primary amenorrhoea and lower abdominal pain. On examination, a large pelvic mass was palpated and a provisional diagnosis of ovarian tumour was made. MRI showed multiple large leiomyomas arising from the Müllerian remnant tissue, and chronic torsion of the right ovary.

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Condition tags

adenomyosis

MeSH descriptors

46, XX Disorders of Sex Development Congenital Abnormalities Leiomyoma Mullerian Ducts Ovarian Neoplasms 46, XX Disorders of Sex Development 46, XX Disorders of Sex Development 46, XX Disorders of Sex Development Abdominal Pain Abdominal Pain Abdominal Pain Adult Amenorrhea Amenorrhea Amenorrhea Congenital Abnormalities Congenital Abnormalities Congenital Abnormalities Diagnosis, Differential Female

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europepmc
last seen: 2026-06-17T06:13:18.893374+00:00
openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-05-13T22:17:39.907309+00:00
License: CC0 · commercial use OK