Mayer-Rokitansky-Küster-Hauser syndrome (MRKH) with rudimentary uterine horns

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Primary amenorrhea.

Patient Data

Age: 16 years
Gender: Female

Congenital absence of the uterus and upper 2/3 vagina.

Both ovaries are normal in size, containing numerous small follicles.

Two rudimentary uterine horns connected by a thin horizontal fibrotic band well-demonstrated on axial and coronal T2 sequences.

Minimal effusion in Douglas pouch (physiological).

Normal appearance and location of both kidneys on coronal T2 sequence.

Annotated images:

  • red arrows; indicate the rudimentary uterine horns

  • green arrow: indicates the horizontal fibrotic band connecting both rudimentary horns

Case Discussion

Case of Mayer-Rokitansky-Küster-Hauser syndrome (MRKH) with bilateral rudimentary uterine horns (rare form) class U5aC4V4 according to ESHRE/ESGE classification of female genital tract anomalies.

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