An extremely rare distant non communicating uterine horn mimicking parasitic leiomyoma: a diagnostic dilemma
Keywords:
Unicornuate uterus, Mullerian anomaly, Pedunculated leiomyoma, Parasitic leiomyoma
Abstract
Unicornuate uterus is a rare congenital anomaly which occurs due to partial development of mullerian duct system. Patient with unicornuate uterus usually present with dysmenorrhoea, hematometra and endometriosis during their reproductive period. In the absence of these symptoms, proper identification and diagnosis of mullerian anomaly becomes difficult. Sometimes during laparoscopy it can mimic parasitic leiomyoma, another rare benign condition, originated from a subserosal pedunculated leiomyoma. Even on imaging study it becomes difficult to differentiate a rudimentary uterine horn from a parasitic leiomyoma. We present here a case of a patient with a rare distant non communicating uterine horn, mimicking parasitic leiomyoma, which needed proper clinical history, radiological evaluation and histopathological examination to arrive at a correct diagnosis.References
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2. Buttram VC Jr, Gibbons WE. Müllerian anomalies: a proposed classification. (An analysis of 144 cases). Fertil Steril. 1979 Jul;32(1):40-6.
3. Ravichandra G, Harishchandra B, Upadhyaya KK, Acharya D, Madhurkar R. Parasitic uterine leiomyoma; years after hysterectomy: a case report. International journal of medical and applied sciences. 2013; 2(3): 222-225.
4. Yeh HC, Kaplan M, Deligdisch L. Parasitic and pedunculated leiomyomas: ultrasonographic features. J Ultrasound Med. 1999;18(11):789-94.
5. Iverson R, DeCherney A, Laufer M. Clinical manifestations and diagnosis of congenital anomalies of the uterus. Uptodate, 2012.
6. Chopra S, Keepanasseril A, Rohilla M, Bagga R, Kalra J, Jain V. Obstetric morbidity and the diagnostic dilemma in pregnancy in rudimentary horn: retrospective analysis. Arch Gynecol Obstet. 2009; 280 (6): 907-10.
7. Reichman D, Laufer MR, Robinson BK. Pregnancy outcomes in unicornuate uteri: a review. Fertil Steril. 2009 May; 91(5): 1886-94.
8. Morelli M, Venturella R, Mocciaro R, Lico D, Zullo F. An unusual extremely distant noncommunicating uterine horn with myoma and adenomyosis treated with laparoscopic hemihysterectomy. Case Rep Obstet Gynecol. 2013; 2013:160291.
9. Heinonen PK. Unicornuate uterus and rudimentary horn. Fertil Steril. 1997; 68(2): 224-30.
10. Fedele L, Bianchi S, Zanconato G, Berlanda N, Bergamini V. Laparoscopic removal of the cavitated noncommunicating rudimentary uterine horn: surgical aspects in 10 cases. Fertil Steril. 2005 Feb; 83(2): 432-6.
Published
2016-10-03
Issue
Section
Case Report
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