Endometriosis in a Patient with Mayer-Rokitansky-Küster-Hauser Syndrome

Júlia Kefalás Troncon, Ana Carolina Tagliatti Zani, Andrea Duarte Damasceno Vieira, Andréa Duarte Damasceno Vieira, Omero Benedicto Poli-Neto, Omero Benedicto Poli‐Neto, Antônio Alberto Nogueira, Júlio César Rosa e Silva, Júlio César Rosa-E-Silva
Case reports in obstetrics and gynecology · 2014 · vol. 2014 , pp. 1–4 · doi:10.1155/2014/376231 · PMID:25610677 · PMC4293785 · W2144619661
article OA: gold CC0 ⤵ 29 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report describes a fifteen-year-old patient with MRKH syndrome and endometriosis, suggesting coelomic metaplasia as a potential origin for endometriosis independent of uterine function.

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Abstract

Objective. To report a case of Mayer-Rokitansky-Küster-Hauser syndrome (MRKH) in which there were two nonfunctional rudimentary uteruses with the presence of ovarian endometrioma, corroborating that there are valid alternative theories to the existence of endometriosis, rather than Sampson's theory alone, such as the coelomic metaplasia theory. Design. A case report. Setting. A tertiary referral center, which is also a university hospital. Patient. A fifteen-year-old patient with MRKH syndrome and endometriosis. Intervention. Laparoscopic approach for diagnostic confirmation and treatment of the endometrioma. Results. Evidence of endometriosis in a patient with no functional uterus. Conclusions. This case report and a few others that are available in the literature reinforce the possibility that coelomic metaplasia could be the origin of endometriosis. Patients with müllerian agenesis and pelvic pain should be carefully evaluated, and the presence of pelvic endometriosis should not be excluded.

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endometriosisendometrioma

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