Sfar Kaouthar, Imrani Kaoutar, Chait Fatima, Essetti Sara, Maslouhi Kaoutar, Moatassim Billah Nabil, Nassar Ittimade
Radiology Department, Ibn Sina University hospital, Mohamed V University, Rabat, Morocco.
SAGE Open Med Case Rep. 2024 Jul 26;12:2050313X241265047. doi: 10.1177/2050313X241265047. eCollection 2024.
MRKH syndrome, or Mayer-Rokitansky-Küster-Hauser syndrome, a rare congenital disease, manifests as a complete or partial aplasia of the uterus and the vagina's upper two-thirds with normal external genitalia and functioning ovaries. Mayer-Rokitansky-Küster-Hauser syndrome can occur in isolation (type I) or in conjunction with other congenital extragenital deformities affecting the kidneys, skeleton, heart, eyes, or auditory system (type II). The diagnosis of Mayer-Rokitansky-Küster-Hauser syndrome typically relies on imaging studies, with transabdominal ultrasonography serving as the primary modality. However, magnetic resonance imaging is considered the gold standard for detailed assessment of internal genital anatomy. We present the case of an 18-year-old woman without any notable medical history who exhibited primary amenorrhea. Mayer-Rokitansky-Küster-Hauser syndrome type II was suspected on pelvic ultrasound and subsequently confirmed via magnetic resonance imaging. The patient was provided with psychological assistance and planned for vaginoplasty.
MRKH综合征,即梅耶-罗基坦斯基-库斯特-豪泽综合征,是一种罕见的先天性疾病,表现为子宫完全或部分发育不全以及阴道上三分之二发育不全,而外生殖器正常且卵巢功能正常。梅耶-罗基坦斯基-库斯特-豪泽综合征可单独出现(I型),也可与影响肾脏、骨骼、心脏、眼睛或听觉系统的其他先天性生殖器外畸形同时出现(II型)。梅耶-罗基坦斯基-库斯特-豪泽综合征的诊断通常依靠影像学检查,经腹超声检查是主要方式。然而,磁共振成像被认为是详细评估内生殖器解剖结构的金标准。我们报告一例18岁无明显病史的女性,该女性表现为原发性闭经。盆腔超声检查怀疑为II型梅耶-罗基坦斯基-库斯特-豪泽综合征,随后经磁共振成像确诊。为该患者提供了心理援助,并计划进行阴道成形术。