Cystic adnexal mass in a 16-year-old female: Ovarian pathology or complication of a Müllerian anomaly?

Guido Santacana-Laffitte, Lorell Ruiz, Yasmin Pedrogo, Edgar Colon

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Objective:Unusual presentation of unknown etiology, Rare disease, Mistake in diagnosis Background:Müllerian anomalies encompass a wide variety of malformations in the female genital tract, usually associated with renal and anorectal malformations. Of these anomalies, approximately 11% are uterus didelphys, which occurs when midline fusion of the müllerian ducts is arrested to a variable extent. Case Report: We report the case of a 16-year-old female with uterine didelphys, jejunal malrotation, hematometra, hematosalpinx, and bilateral subcentimeter homogenous circular cystic-like renal lesions, who initially presented with left lower quadrant abdominal pain, non-bloody vomiting, and a history of irregular menstrual periods. Initial CT was confusing for an adnexal cystic mass, but further imaging disclosed the above müllerian anomalies. Conclusions: Müllerian anomalies may mimic other, more common, adnexal lesions; thus, adequate evaluation of suspicious cystic adnexal masses with multiple and advanced imaging modalities such as MRI is essential for adequate diagnosis and management.

Original languageEnglish (US)
Pages (from-to)153-156
Number of pages4
JournalAmerican Journal of Case Reports
Volume14
DOIs
StatePublished - 2013
Externally publishedYes

Keywords

  • Hematometr
  • Hematosalpynx
  • Hydrometrocolpos
  • Intestinal malrotation
  • Mullerian
  • Renal cysts
  • Uterus didelphys

ASJC Scopus subject areas

  • General Medicine

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