Endometriosis and adenomyosis in a Mullerian agenesis patient: A delayed presentation

Monika Gautam, Meenakshi Chauhan, Vani Malhotra, Sushila Chaudhary, Sarika Gautam, Menka Verma
In: Asian Journal of Medical Sciences · 2024 · vol. 15(8) , pp. 179–181 · doi:10.3126/ajms.v15i8.66387 · W4401366394
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report details a patient with primary amenorrhea who presented with endometriosis and adenomyosis in a rudimentary uterine horn 18 years after vaginoplasty.

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

This case report describes a patient with Mullerian agenesis who presented 18 years after vaginoplasty with primary amenorrhea, abdominal pain, and findings of endometriosis in both ovaries and adenomyosis in a rudimentary uterine horn. The authors discuss a proposed mechanism in which continuous bleeding into functional uterine remnants can lead to hematometra and promote development of endometriosis and adenomyosis in the context of obstructive uterine malformations. The main caveat is that, as a single delayed-presentation case report, it provides observational evidence without systematic testing or generalizable incidence estimates. This paper is centrally about endometriosis and adenomyosis — it reports endometriosis in bilateral ovaries and adenomyosis in a rudimentary uterine horn in a Mullerian agenesis patient with delayed presentation.

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Abstract

Mullerian duct anomalies are developmental anomalies resulting from failure in organogenesis, fusion, or the reabsorption of the paired Mullerian ducts. Endometriosis and Mullerian anomalies have a high coincidence rate. Obstructive uterine malformations with functioning endometrium have higher chances of co-incident endometriosis. Continuous bleeding into functional uterine remnants can lead to the formation of hematometra, endometriosis, and adenomyosis. We report a case of primary amenorrhea who reported 18 years after vaginoplasty with pain abdomen due to the presence of endometriosis in bilateral ovaries and adenomyosis in the rudimentary uterine horn.
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Endometriosis and adenomyosis in a Mullerian agenesis patient: A delayed presentation Keywords: Endometriosis; Adenomyosis; Mullerian agenesis; VaginoplastyAbstract Mullerian duct anomalies are developmental anomalies resulting from failure in organogenesis, fusion, or the reabsorption of the paired Mullerian ducts. Endometriosis and Mullerian anomalies have a high coincidence rate. Obstructive uterine malformations with functioning endometrium have higher chances of co-incident endometriosis. Continuous bleeding into functional uterine remnants can lead to the formation of hematometra, endometriosis, and adenomyosis. We report a case of primary amenorrhea who reported 18 years after vaginoplasty with pain abdomen due to the presence of endometriosis in bilateral ovaries and adenomyosis in the rudimentary uterine horn. Downloads Downloads Published How to Cite Issue Section License Copyright (c) 2024 Asian Journal of Medical Sciences This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. Authors who publish with this journal agree to the following terms: - The journal holds copyright and publishes the work under a Creative Commons CC-BY-NC license that permits use, distribution and reprduction in any medium, provided the original work is properly cited and is not used for commercial purposes. The journal should be recognised as the original publisher of this work. - Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal. - Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).

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endometriosisadenomyosis

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