Early-onset severe ovarian endometriosis in adolescents with completely obstructed Müllerian anomalies accompanied by ipsilateral renal agenesis: two case reports

Bo Ram Yu, Hee-Suk Chae, Heesuk Chae, Chul-Hee Rheu, Chulhee Rheu
Journal of surgical case reports · 2024 · vol. 2024(5) , pp. rjae272 · doi:10.1093/jscr/rjae272 · PMID:38706491 · PMC11066802 · W4396601260
case-report OA: gold CC0 ⤵ 2 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This paper reports two cases of severe, stage IV endometriosis in adolescents with obstructed Müllerian anomalies and ipsilateral renal agenesis, highlighting the rapid progression and need for gynecological screening in such patients.

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Abstract

Endometriosis is known to occur frequently in adolescents with obstructed Müllerian anomalies. Our cases emphasize that endometriosis can rapidly progress to a severe stage in obstructed hemivagina and ipsilateral renal anomaly syndrome, one of the completely obstructed Müllerian anomalies. The first patient was a 14-year-old girl who complained of cyclic abdominal pain. Imaging revealed a uterine didelphys with unilateral hematocolpos and a left adnexal endometrioma. The second, an 11-year-old girl, visited the hospital complaining of cyclic abdominal pain, had a unicornuate uterus with a functioning horn and left adnexal endometrioma. Also, both patients had unilateral renal agenesis. The surgery in both cases revealed Stage IV endometriosis. Adjuvant hormone therapy was administered for 1 year, and there was no recurrence until 3 years after surgery. We emphasize that patients diagnosed with renal agenesis should be screened to check for gynecological anomalies when menstrual cramps occur after menarche.

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endometriosisendometrioma

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