Adenomyosis in a Mullerian Remnant

Dania Al‐Jaroudi, Ahmad Al-Badr, Ahmed Al‐Badr, Faryal Khan
In: Journal of Womens Health, Issues and Care · 2015 · vol. 04(05) · doi:10.4172/2325-9795.1000205 · W2343964375
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This case report describes a 28-year-old woman with Mayer-Rokitansky-Küster-Hauser syndrome who presented with primary amenorrhea and abdominal pain due to a right-sided Müllerian remnant containing functional endometrium. Surgical intervention via laparoscopy revealed a rudimentary uterus that caused hematometra, which subsequently led to the development of adenomyosis within the remnant tissue. Histological examination confirmed the presence of adenomyosis in the resected specimen, highlighting an unusual presentation where complete unilateral agenesis occurred without the typically associated ipsilateral renal anomaly. This paper is centrally about adenomyosis — specifically its occurrence within a Müllerian remnant in a patient with MRKH syndrome.

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Abstract

Adenomyosis in a Mullerian Remnant The objective of this article is to report a rare mullerian anomaly and adenomyosis in the mullerian remnant in a patient with MRKH. A 28-year-old single female with primary amenorrhea and intermittent abdominal pain had been diagnosed with a right mullerian remnant that is associated with a cavity and functional endometrium causing hematometra with pain. Adenomyosis is caused by hematometra. The left mullerian duct was not developed. She had laparoscopy and right unilateral rudimentary uterus was found and resected. Adenomyosis in the mullerian remnant was described histologically. This is an unusual mullerian anomaly, since complete unilateral agenesis of one mullerian duct is often associated with ipsilateral renal agenesis but the patient had two normal kidneys. Unicornuate uterus is associated with normal vagina that was not found in the present case.
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Case Report, J Womens Health Issues Care Vol: 4 Issue: 5 Adenomyosis in a Mullerian Remnant | Dania Al-Jaroudi*, Ahmad Al-Badr and Faryal A Khan | | | Women’s Specialized Hospital, Reproductive Infertility and Medicine Department, King Fahad Medical City, P.O.BOX 59046, Riyadh, Saudi Arabia. | | | Corresponding author : Dania Al-Jaroudi Womenâ�?�?s Specialized Hospital, Reproductive Infertility and Medicine Department, King Fahad Medical City, P.O. BOX 59046, Riyadh, Saudi Arabia 11525 Tel: +9661-288 9999 to 21100; Tel: +9665- 04435931 E-mail: [email protected] | | | Received: September 13, 2015 Accepted: October 12, 2015 Published: October 15, 2015 | | | Citation: Al-Jaroudi D, Al-Badr A, Khan FA (2015) Adenomyosis in a M�?¼llerian Remnant. J Womens Health, Issues Care 4:5. doi:10.4172/2325-9795.1000205 | Abstract Adenomyosis in a Müllerian Remnant The objective of this article is to report a rare müllerian anomaly and adenomyosis in the müllerian remnant in a patient with MRKH. A 28-year-old single female with primary amenorrhea and intermittent abdominal pain had been diagnosed with a right müllerian remnant that is associated with a cavity and functional endometrium causing hematometra with pain. Adenomyosis is caused by hematometra. The left müllerian duct was not developed. She had laparoscopy and right unilateral rudimentary uterus was found and resected. Adenomyosis in the müllerian remnant was described histologically. This is an unusual müllerian anomaly, since complete unilateral agenesis of one müllerian duct is often associated with ipsilateral renal agenesis but the patient had two normal kidneys. Unicornuate uterus is associated with normal vagina that was not found in the present case.

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