Document Detail

Uterus-like mass in the left broad ligament misdiagnosed as a malformation of the uterus: a case report of a rare condition and review of the literature.
MedLine Citation:
PMID:  19969294     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To describe a rare extrauterine mass of an unknown origin that was composed of smooth muscle with a central cavity lined by endometrium, which resembled a uterus. DESIGN: Case report. SETTING: Academic teaching hospital. PATIENT(S): A 17-year-old girl with severe dysmenorrhea was found to have a uterus-like mass composed of smooth muscle and lined by endometrium in the left broad ligament. INTERVENTION(S): Abdominal surgery. RESULT(S): The mass was successfully removed surgically, and her dysmenorrhea resolved. Histopathological examination revealed that the uterus-like mass was composed of smooth muscle with a cavity lined by endometrial glands and stroma. CONCLUSION(S): The histogenesis of a uterus-like mass is theorized to be a Müllerian system anomaly, metaplastic change, and/or heterotopia. We believe metaplasia is the most likely cause in this case. Alhough rare, it should be considered in the differential diagnosis of dysmenorrhea of uncertain etiology.
Yuan-Jiao Liang; Qun Hao; Yuan-Zhe Wu; Bo Wu
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2009-12-06
Journal Detail:
Title:  Fertility and sterility     Volume:  93     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-03-01     Completed Date:  2010-04-01     Revised Date:  2010-07-09    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1347.e13-6     Citation Subset:  IM    
Copyright Information:
Crown Copyright 2010. Published by Elsevier Inc. All rights reserved.
Department of Obstetrics and Gynecology, Jinling Hospital, Nanjing University School of Medicine, Nanjing, Jiangsu 210002, People's Republic of China.
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MeSH Terms
Broad Ligament / abnormalities*,  surgery
Diagnostic Errors*
Dysmenorrhea / diagnosis*,  surgery
Uterus / abnormalities*,  surgery
Comment In:
Fertil Steril. 2010 Jul;94(2):e45   [PMID:  20493472 ]

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