Hernia uterine inguinale with endometriosis in adult Mayer Rokintasky Kuster Hauser syndrome

R Padmasri, Rupa S Iyengar
In: Sri Lanka Journal of Obstetrics and Gynaecology · 2014 · vol. 35(4) , pp. 122 · doi:10.4038/sljog.v35i4.6591 · W2115392095
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-14 ⓘ

This case report describes a 25-year-old woman diagnosed with MRKH syndrome who presented with primary infertility and bilateral inguinal masses found to contain endometriosis.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-14 · read from full text ⓘ

The paper reports a case of a 25-year-old woman with primary infertility who presented with a large left inguinal mass and a blind vagina; MRI suggested Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome with inguinal herniation of the uterus and adnexa. Clinical assessment found probable primary amenorrhea and absence of the cervix, and operative exploration revealed bilateral grossly distorted inguinal masses with evidence of endometriosis, which was confirmed by postoperative pathology. The main limitation is that this is a single case report, limiting generalizability beyond this patient. This paper is centrally about endometriosis — it documents endometriosis found in association with uterine inguinal herniation in an adult with MRKH syndrome.

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Abstract

A young 25 year old woman presented with primary infertility and was found to have a big left inguinal mass with a blind vagina. Based on the findings of magnetic resonance imaging, a history of probable primary amenorrhea and absence of cervix on clinical examination she was diagnosed as MRKH with inguinal herniation of uterus and adnexae. Operative findings showed bilateral grossly distorted inguinal masses with evidence of endometriosis. Postoperative pathology findings demonstrated endometriosis. DOI: http://dx.doi.org/10.4038/sljog.v35i4.6591 Sri Lanka Journal of Obstetrics and Gynaecology 2013; 35: 122-124
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Abstract

A young 25 year old woman presented with primary infertility and was found to have a big left inguinal mass with a blind vagina. Based on the findings of magnetic resonance imaging, a history of probable primary amenorrhea and absence of cervix on clinical examination she was diagnosed as MRKH with inguinal herniation of uterus and adnexae. Operative findings showed bilateral grossly distorted inguinal masses with evidence of endometriosis. Postoperative pathology findings demonstrated endometriosis. DOI: http://dx.doi.org/10.4038/sljog.v35i4.6591 Sri Lanka Journal of Obstetrics and Gynaecology 2013; 35: 122-124

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endometriosisinfertility

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