Management of cyclical pelvic pain by multiple ultrasound-guided superior hypogastric plexus blocks in a rare case of Mayer- Rokitansky-Küster-Hauser syndrome - A case series of three blocks in a patient.

Srivastava M; Punj J

doi:10.5582/irdr.2019.01098

Management of cyclical pelvic pain by multiple ultrasound-guided superior hypogastric plexus blocks in a rare case of Mayer- Rokitansky-Küster-Hauser syndrome - A case series of three blocks in a patient.

Srivastava M, Punj J

Intractable & rare diseases research · 2019 · doi:10.5582/irdr.2019.01098 · PMID:31890455 · PMC6929597

OA: closed

📄 Open PDF Full text JSON View on PubMed View at publisher

⚙ AI-generated deep summary by qwen3.7-flash, 2026-08-25 · read from full text ⓘ

This case report describes the successful management of severe cyclical pelvic pain in a patient with Mayer-Rokitansky-Küster-Hauser syndrome using three ultrasound-guided superior hypogastric plexus blocks. The intervention effectively alleviated symptoms that had remained unresponsive to conservative treatments, demonstrating the utility of this bedside procedure for acute pain control in individuals with Mullerian agenesis. However, the authors note that definitive treatment typically requires GnRH analogues or hysterectomy, as nerve blocks provide only temporary relief. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Mayer-Rokitansky-Küster-Hauser syndrome is an uncommon disorder of mullerian agenesis where patients face multiple challenges like difficulty or inability to conceive and have sexual intercourse and chronic abdominal pain. This is a case report of a patient with Mayer-Rokitansky-Küster-Hauser syndrome who presented to the pain clinic with severe cyclical pelvic pain unresponsive to conservative treatment. This case was successfully managed with three ultrasound-guided superior hypogastric plexus blocks. This case illustrates that acute pelvic pain in MKRS patients can be effectively treated with bedside ultrasound-guided superior hypogastric plexus blocks. However, a GnRh analogue or hysterectomy is recommended for definitive treatment.

Full text 1,264 characters · extracted from oa-doi-fallback · 2 sections · click to expand

Keywords

Superior hypogastric plexus block, ultrasound, Mayer-Rokitansky-Kuster-Hauser syndrome, pelvic pain 2019 Volume 8 Issue 4 Pages 271-274 Details

Abstract

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Citation neighborhood (no data yet)

We don't have any in-corpus citations linked to this paper yet. The paper's references may be in our DB but unresolved to ``paper_id`` (resolution happens at ingest when the cited DOI matches a row we already have). Run the cross-source citation reconcile pass to retry.

Source provenance

europepmc: last seen: 2026-08-23T09:30:01.253652+00:00
unpaywall: last seen: 2026-08-25T06:41:39.333708+00:00