Paudel Suman, Rokaha Prerana Singh, Kafle Pankaj
Department of Radiology, Kathmandu Medical College And Teaching Hospital, Sinamangal, Kathmandu, Nepal.
Kathmandu Medical College And Teaching Hospital, Sinamangal, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2024 Mar 31;62(272):279-281. doi: 10.31729/jnma.8532.
Mayer-Rokitansky-Küster-Hauser syndrome (MRKH) also known as Müllerian agenesis, is caused by embryologic underdevelopment of the Mullerian duct, with resultant agenesis or atresia of the vagina, uterus, or both. Patients usually present with primary amenorrhea with normal growth and pubertal development. Here we present a case of a 29-year-old woman presented with primary amenorrhea. Secondary sexual characteristics and hormone evaluation were normal. Ultrasound and MRI were conducted and revealed complete absence of uterus, small vaginal canal. Bilateral renal fossa were empty and both the kidneys were located in the pelvic cavity fused to one-another with single renal pelvis giving pancake appearance.
迈耶-罗基坦斯基-库斯特-豪泽综合征(MRKH)也称为苗勒管发育不全,由苗勒管胚胎发育不全引起,导致阴道、子宫或两者发育不全或闭锁。患者通常表现为原发性闭经,但生长和青春期发育正常。在此,我们报告一例29岁原发性闭经女性病例。第二性征和激素评估均正常。进行了超声和磁共振成像检查,结果显示子宫完全缺如,阴道管短小。双侧肾窝空虚,双肾位于盆腔内,相互融合,形成单一肾盂,呈煎饼样外观。