Evidence map›Paper›PMID 41869223›Full record

ArticleCureus2026

Preoperative Considerations for Uterine Fibroid Removal in Patients With Mayer-Rokitansky-Küster-Hauser Syndrome and Klippel-Feil Syndrome: A Case Report.

Yasuho Yanagihara, Yu Kawasaki, Keisuke Murakami, Taihei Yamada, Mari Kitade

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Yasuho YanagiharaObstetrics and Gynecology, Juntendo University Hospital, Tokyo, JPN.
Yu KawasakiObstetrics and Gynecology, Juntendo University Hospital, Tokyo, JPN.
Keisuke MurakamiObstetrics and Gynecology, Juntendo University Hospital, Tokyo, JPN.
Taihei YamadaObstetrics and Gynecology, Juntendo University Hospital, Tokyo, JPN.
Mari KitadeObstetrics and Gynecology, Juntendo University Hospital, Tokyo, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS) is a congenital disorder characterized by dysplasia of the uterus and upper vagina due to Müllerian duct dysplasia. Fibroids arise from the rudimentary uterus. The implementation of surgical intervention for uterine fibroids in patients with MRKHS presents several challenges and considerations. The rudimentary uterus is tiny, making it difficult to determine the location of the pelvic mass and diagnose uterine fibroids. Preoperative planning is often inadequate, necessitating intraoperative decision-making. In addition, patients with MRKHS may present with Klippel-Feil syndrome (KFS), characterized by cervical spine fusion, further complicating intraoperative management. In contrast to the typical practice, careful surgical planning along with anesthesia administration and orthopedic surgery is required. In this case, magnetic resonance angiography was utilized to determine the location of the mass and the rudimentary uterus. Screening was conducted to detect any concomitant malformation, such as KFS. Subsequently, a safe laparoscopic surgery was carried out. In this case report, we present the importance and unique considerations of preoperative planning for the surgical intervention of uterine fibroids in patients with MRKHS.

Indexed as

klippel-feil syndromelaparoscopic myomectomymagnetic resonance angiographymayer-rokitansky-küster-hauser syndromeuterine fibroids

Identifiers

PMID41869223
PMCPMC13005654

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.