| 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. | |
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MedLine Citation:
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PMID: 19969294 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Yuan-Jiao Liang; Qun Hao; Yuan-Zhe Wu; Bo Wu |
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Publication Detail:
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Type: Case Reports; Journal Article; Review Date: 2009-12-06 |
Journal Detail:
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Title: Fertility and sterility Volume: 93 ISSN: 1556-5653 ISO Abbreviation: Fertil. Steril. Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-03-01 Completed Date: 2010-04-01 Revised Date: 2010-07-09 |
Medline Journal Info:
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Nlm Unique ID: 0372772 Medline TA: Fertil Steril Country: United States |
Other Details:
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Languages: eng Pagination: 1347.e13-6 Citation Subset: IM |
Copyright Information:
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Crown Copyright 2010. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Obstetrics and Gynecology, Jinling Hospital, Nanjing University School of Medicine, Nanjing, Jiangsu 210002, People's Republic of China. yuanjiao1965@126.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Broad Ligament
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abnormalities*,
surgery Diagnostic Errors* Dysmenorrhea / diagnosis*, surgery Female Humans Uterus / abnormalities*, surgery |
| Comments/Corrections | |
Comment In:
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Fertil Steril. 2010 Jul;94(2):e45
[PMID:
20493472
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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