CHSJ

Curr Health Sci J, vol. 40, no. 2, 2014

Importance of Laparoscopic Assessment of the Uterine Adnexa in a Mayer-Rokitansky-Kuster-Hauser Syndrome Type II Case

[Case Reports]

R. DRAGUSIN(1), S. TUDORACHE(2), V. SURLIN(3), C. LICHIARDOPOL(4), D.I. ILIESCU(2)


(1)Departament of Obstetrics and Gynecology, Prenatal Diagnostic Unit, University Emergency Hospital Craiova, Romania;
(2)Departament of Obstetrics and Gynecology, University of Medicine and Pharmacy Craiova, Prenatal Diagnostic Unit, Universitary Emergency Hospital Craiova, Romania;
(3)Departament of Surgery, University of Medicine and Pharmacy Craiova, Surgery Clinic, Universitary Emergency Hospital Craiova, Romania;
(4)Departament of Endocrinology, University of Medicine and Pharmacy Craiova, University Emergency Hospital Craiova, Romania


Abstract:

In the case reported, diagnosed with Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome, the presence of normal ovaries proved to be challenging to confirm due to unusual high positioned (ectopic) ovaries. MRKH syndrome is a rare pathological condition characterized by a spectrum of the Mullerian duct abnormalities resulting in congenital aplasia of the uterus and of the upper part (2/3) of the vagina, developed during embryogenesis. At the same time, the mullerian development is interdependent with the Wolffian (mesonephric) duct and this explains the associated renal abnormalities (MRKH type II). Laparoscopic assessment was of great importance in defining the exact anatomic characteristics of MRKH syndrome.


Keywords: adnexal ectopy, laparoscopy, Mayer-Rokitansky-Kuster-Hauser syndrome, renal agenesis



Corresponding: Stefania Tudorache, MD, PhD, Departament of Obstetrics and Gynecology, University of Medicine and Pharmacy Craiova, Prenatal Diagnostic Unit, Universitary Emergency Hosp


DOI 10.12865/CHSJ.40.02.13 - Download PDF
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