Yixuan Zhang, Zhenzhen Liu, Ying Wang, Lan Zhu, Yafei Qi, Huadan Xue, Hongyan Wang, Jianchu Li
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引用次数: 0
摘要
我们报告一个罕见的病例mayer - rokitansky - k ster- hauser （MRKH）综合征同时伴有子宫腺肌症和子宫内膜平滑肌瘤。一名35岁女性，因进行性下腹痛接受影像学诊断。最初的超声检查错误地提示有附件肿块，但随后的影像学检查显示双侧子宫残余，一侧有腺肌瘤改变，另一侧有平滑肌瘤。腹腔镜切除证实了这些病理结果。本病例提示定期妇科影像学检查对MRKH患者的重要性，并挑战了传统的信念，认为勒氏体残余是非功能性的。此外，我们的研究结果强调了经腹超声在准确识别复杂子宫异常中的诊断作用。
Mayer-Rokitansky-Küster-Hauser Syndrome With Concurrent Adenomyosis and Leiomyoma in Rudimentary Uterus: A Case Report.
We report a rare case of Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome accompanied by simultaneous adenomyosis and leiomyoma in rudimentary uterine remnants. A 35-year-old woman presented with progressive lower abdominal pain and underwent diagnostic imaging. The initial ultrasound erroneously suggested an adnexal mass, but subsequent imaging revealed bilateral uterine remnants-one with adenomyotic changes and the other harboring a leiomyoma. Laparoscopic excision confirmed these pathological findings. This case suggests the importance of regular gynecological imaging examinations for MRKH patients and challenges the conventional belief in the non-functional nature of Müllerian remnants. Furthermore, our findings underscore the diagnostic utility of transabdominal ultrasound in accurately identifying complex uterine anomalies.
期刊介绍：
The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography.
The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents.
JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.
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