ABSTRACT
A uterus-like mass (ULM) is a central cavity lined by endometrial glands and stroma and surrounded by thick-walled smooth muscles. To date, 31 cases of ULM have been reported in the English literature. ULM typically presents as a single mass and is located in the pelvic cavity. We report here a very rare case of multiple extrapelvic ULMs involving the cecum, descending colon, and mesocolon. After extensive literature research, our case appears to be the first case of multiple ULMs found in extrapelvic sites and the first case of ULM in the colon. The present case suggests that ULM should be included in the differential diagnosis of colonic submucosal tumors in female patients with chronic abdominal pain or menstruation-associated symptoms.
Subject(s)
Female , Humans , Abdominal Pain , Adenomyoma , Cecum , Colon , Colon, Descending , Diagnosis, Differential , Mesocolon , Muscle, SmoothABSTRACT
We report a case of a 47-year-old female (posthysterectomy) with bleeding per vaginam. Imaging studies showed a large abdomino-pelvic mass diagnosed as extrauterine adenomyoma with uterus-like features. This pathological entity is extremely uncommon with only few case reports available in the reported literature. This case is being highlighted for its rarity and to discuss the possible theories for origin of this uncommon condition.
Subject(s)
Adenomyoma/diagnosis , Adenomyoma/pathology , Female , Hemorrhage/pathology , Histocytochemistry , Humans , Hysterectomy , Microscopy , Middle Aged , Pelvis/diagnostic imaging , Radiography, Abdominal , Tomography, X-Ray Computed , Uterine Neoplasms/diagnosis , Uterine Neoplasms/pathology , Uterus/pathology , Vagina/pathologyABSTRACT
Uterus-like masses, such as cavities lined by endometrium-type mucosa surrounded by bundles of smooth muscle cells, may strikingly resemble the uterus. In this report, we describe a case of a uterus-like mass of the uterus in a 35-year-old woman.