Laparoscopic Management of Leiomyoma Arising from Müllerian Remnant in Mayer–Rokitansky–Küster–Hauser Syndrome

Abstract

Abstract Background: Leiomyomas arising from Mullerian remnants are a rare association with few case reports in literature. Most of the case reports have shown management with laparotomy. This report presents a case of a leiomyoma arising in a Mullerian remnant that was managed with laparoscopy. Case: A 33-year-old nulligravida presented with dyspareunia since marriage and an increase in urinary frequency since 3 years prior to presentation with no history of cyclical abdominal pain. Pelvic examination revealed a vaginal length of 7 cm and a 6 × 6 cm, firm right adnexal mass. Magnetic resonance imaging was suggestive of a hypoplastic uterus with a submucosal myoma or a broad ligament myoma. Laparoscopy showed a bilobed leiomyoma arising from the right Mullerian anlage with the right fallopian tube and ovary attached to its postero-superior surface. The bilobed leiomyoma, and the right Mullerian remnant along with the left rudimentary horn and both tubes were removed as a single contiguous specimen. Result...