Rare Case of Leiomyoma and Adenomyosis in Mayer-Rokitansky-K
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Case Presentation
A 45-year-old Malay female, with primary amenorrhoea and primary infertility for 11 years, presented with abdominal mass and abdominal pain. She had sought treatment for her primary amenorrhoea when she was 16 years old, with no further investigation after then. She got married at the age of 34 years. There was no complaint of difficulty during sexual intercourse with her partner. Investigations were done for primary infertility after one year of marriage and diagnostic laparoscopy was offered but patient refused.

She presented with abdominal mass for one year, which gradually increased in size and associated with intermittent pain. There was no bowel or bladder compressive symptoms.

She is phenotypically female, with normal intelligence and average height. No hirsutism or acne was noted. Examination of the head and neck did not reveal a webbed neck or any abnormal facies. Thyroid was not enlarged. There were no gross abnormalities of the extremities such as polydactyly, syndactyly, or absence of digit. Chest and heart examinations were normal. There was no complaint of galactorrhoea.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5097798/
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