case_images: PMC11774576_01
case_images: (a, b) MRI showing the initial finding of 10.14 x 10.6 cm mass in the right horn and 7.25 x 8.29 cm in the left horn. (b) Two distinct cervices with an upper vaginal septum.
case_images: CRIOG2025-6231298.001.jpg
case_images: PMC11774576_01_CRIOG2025-6231298.001.jpg
case_images: fig1
case_images: The MRI revealed two distinct and widely separated uterine bodies and cervices, with an upper vaginal septum (see Figure 1).
case_images: Visual representation depicting the sigmoid colon traversing between the two uteruses and attaching to the bladder apex.
case_images: CRIOG2025-6231298.002.jpg
case_images: PMC11774576_01_CRIOG2025-6231298.002.jpg
case_images: fig2
case_images: Notably, there were two distinct cervices, and the sigmoid colon was found traversing in between the two uteruses, attaching to the isthmus of both uteruses and the apex of the bladder anteriorly by its mesentery (see Figure 2).
case_images: Image illustrating the postprocedure status following sigmoid colon release and myomectomy underway.
case_images: CRIOG2025-6231298.003.jpg
case_images: PMC11774576_01_CRIOG2025-6231298.003.jpg
case_images: fig3
case_images: Three intramural myomas were individually excised from each uterus; the biggest sizes were 10 by 9 cm on the right uterus and about 8 by 7 cm on the left uterus; the rest were smaller and subserosal (see Figure 3).
case_images: Histopathological image shows the proliferation of smooth muscle cells with uniform nuclei in a hyalinized stroma and infrequent mitotic activity, confirming the diagnosis of leiomyoma.
case_images: CRIOG2025-6231298.004.jpg
case_images: PMC11774576_01_CRIOG2025-6231298.004.jpg
case_images: fig4
case_images: Upon receiving the biopsy results, it was confirmed that the pathology exhibited a proliferation of smooth muscle cells with uniform nuclei in a hyalinized stroma (see Figure 4).