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

Mesha Srivastava, Jyotsna Punj
In: Intractable & Rare Diseases Research · 2019 · vol. 8(4) , pp. 271–274 · doi:10.5582/irdr.2019.01098 · PMID:31890455 · PMC6929597 · W2999412034
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case series reports successful management of severe cyclical pelvic pain in a Mayer-Rokitansky-Küster-Hauser syndrome patient using three ultrasound-guided superior hypogastric plexus blocks.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-13 · read from full text ⓘ

The paper reports a case series of a patient with Mayer-Rokitansky-Küster-Hauser syndrome who presented to a pain clinic with severe cyclical pelvic pain that was not relieved by conservative treatment. Using bedside ultrasound guidance, the authors performed three superior hypogastric plexus blocks and reported successful management of the patient’s acute pelvic pain. The authors state that while this approach effectively treated the pain in the acute setting, definitive management is recommended with a GnRH analogue or hysterectomy. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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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.
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Keywords

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

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. © 2019 International Research and Cooperation Association for Bio & Socio-Sciences Advancement Favorites & Alerts Recently viewed articles

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