Laparoscopic extirpation of an aplastic ectopic uterus in a patient with Mayer-Rokitansky-Kuster-Hauser syndrome

Eduard Malik, E Malik, Malik E, Mangold R, R. Mangold, Rossmanith WG, W. G. Rossmanith
Human Reproduction · 1997 · vol. 12(6) , pp. 1298–1299 · doi:10.1093/humrep/12.6.1298 · PMID:9222020 · W2107242231
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This paper describes the laparoscopic extirpation of an aplastic ectopic uterus attached to the pelvic wall in a patient with Mayer-Rokitansky-Kuster-Hauser syndrome and associated endometriosis.

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Abstract

The Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome comprises the combined hypoplasia of the vagina and the uterus. In recent years, variable anomalies of the development of the Mullerian duct [as classified by the American Fertility Society (AFS)] have been operated on by the laparoscopic approach. We describe here a laparoscopic extirpation of an aplastic ectopic uterus in a patient found to have a hypoplastic vagina and ectopic uterus attached to the right pelvic wall. The uterus was linked to a normotopic right Fallopian tube and right ovary which were covered with endometriosis and adhesions. While the uterine vessels and the round ligament could be demonstrated on the right side, these structures were missing on the contralateral left side of the uterus. However, a normal tube and ovary were present on the left pelvic wall. Although not explicitly described in the AFS classification, this constellation most likely corresponds to the AFS classification stage Ie.

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Condition tags

endometriosis

MeSH descriptors

Abnormalities, Multiple Choristoma Uterus Uterus Vagina Abnormalities, Multiple Adult Choristoma Fallopian Tubes Fallopian Tubes Fallopian Tubes Female Humans Laparoscopy Ovary Ovary Ovary Pelvis Syndrome Vagina

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