A Menopausal Woman With Müllerian Agenesis, a Leiomyoma, an Inguinal Hernia, and Cystadenofibromas

Howard Goldstein, Adam C. Steinberg, Robert W. Hunter
In: Obstetrics & Gynecology · 2004 · vol. 103(5) , pp. 1123–1125 · doi:10.1097/01.aog.0000124987.09798.85 · PMID:15121631 · W2316721024
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A menopausal woman with Müllerian agenesis and a rudimentary uterus developed a large leiomyoma, an inguinal hernia, and bilateral benign serous cystadenofibromas, demonstrating that such patients can develop gynecologic pathology similar to women with normal genital tracts.

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Abstract

In Brief BACKGROUND: Müllerian agenesis, the second most common cause of primary amenorrhea, affects 1 in 4,000 to 10,000 women. Although the majority of these women have complete absence of the uterus, a small percentage can have a rudimentary uterus. CASE: A menopausal nulligravida with known müllerian agenesis developed a large pelvic mass and an inguinal hernia. The patient underwent an exploratory laparotomy, which revealed a large leiomyoma growing from a small rudimentary uterus, an indirect inguinal hernia, and bilateral benign serous cystadenofibroma. CONCLUSION: Women with müllerian agenesis and rudimentary uteri can develop gynecologic pathology similar to women with normal genital tracts. A menopausal woman with müllerian agenesis presented with a large leiomyoma, an inguinal hernia, and bilateral benign serous cystadenofibroma.

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