A rare case presentation of an anomalous uterus mimicking ovarian tumour

Authors

  • Mohanambal M. Department of Obstetrics and Gynecology, SSSMCRI, Ammapettai, Kancheepuram, Tamil Nadu, India
  • Wills G. sheelaa Department of Obstetrics and Gynecology, SSSMCRI, Ammapettai, Kancheepuram, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20172370

Keywords:

Complex ovarian tumour, Haemorrhagic corpus luteum cyst, Uterus didelphys

Abstract

Mullerian anomalies occur in 1:1000-3000 females. Uterus didelphys and obstructed hemangioma with a septum contribute to 10% anomalies. Young girls present with severe dysmenorrhea, hematometra, hematocolpos and recurrent pregnancy loss. A 16-year-old teenager presented like a torsion of complex ovarian tumour is presented here. Intra operative findings was uterus didelphys with well-developed 2 horns, tubes and ovaries. On left ovary, a hemorrhagic corpus luteal cyst of size 5.2*4cm was seen with 50ml of hemoperitoneum. Diagnosis was confirmed histopathologically. This case is reported for the unusual presentation of an anomalous uterus mimicking torsion ovarian tumour.

References

Skondras KG, Moutsouris CC, Vaos GC, Barouchas GC, Demetriou LD. Uterus didelphys with an obstructed hemivagina and ipsilateral renal agenesis: a rare cause of acute abdomen in pubertal girls. J Pediatr Surg. 1991;26(10):1200-1.

Ballesio L, Andreoli C, De Cicco ML, Angeli ML, Manganaro L. Hematocolpos in double vagina associated with uterus didelphus: US and MR findings. Europ J Radiol. 2003;45(2):150-3.

Klimek P, Klimek M, Kessler U, Oesch V, Wolf R, Stranzinger E et al. Hematometra presenting as an acute abdomen in a 13-year-old postmenarchal girl: a case report. J Med Case Reports. 2012;6(1):419.

Bhattacharya K, Ramakrishnan R, Gopalan TR, Barua P, Vijayaraghavan J. Uterus didelphys with fibroid uterus and ovarian cyst--rare Muellerian malformation. J Indian Med Assoc. 2006;104(6):336-7.

Nahar S, Das B, Begum F. Didelphys uterus: misleading as ovarian cyst. Bangladesh Med J Khulna. 2013;45(1-2):30-2.

Santacana-Laffitte G, Ruiz L, Pedrogo Y, Colon E. Cystic adnexal mass in a 16-year-old female: Ovarian pathology or complication of a Müllerian anomaly? Am J Case Reports. 2013;14:153-6.

Downloads

Published

2017-05-25

Issue

Section

Case Reports