We would like to report a case of endometriosis in a patient with complete uterine agenesis. A 23-year-old girl was admitted to hospital with primary amenorrhea post puberty. On pelvic examination, the uterus could not be touched clearly. Trans-abdominal ultrasound showed a 2.3 cm × 1.9 cm × 1.0 cm hypoechoic nodules (single uterine bud) with no functional endometrium line resonance, no vaginal gas line resonance was found and the ovaries were in normal size. She was diagnosed with Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome by clinical symptoms, followed up with endorectal exploration and abdominal ultrasound. Pelvic MRI was not routinely used in China for the diagnosis of MRKH at that time. During trans-abdominal sigmoid transplantation for vaginal reconstruction, a purple and brown nodule measured 0.5 cm on the right ovary surface was found which was proved to be an ectopic endometriotic lesion (old bleeding site possibly from the previous postoperative pathohistologic analysis, See Fig. 1). As there was no functioning endometrium in the uterine buds, the endometriotic site might come from metaplasia of the existing epithelium in the ovary which supports the theory of coelomic metaplasia.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to European Journal of Obstetrics and Gynecology and Reproductive Biology
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- The current question of adenomyositis and adenomyomas in general and particularly seroepithelial adenomyositis and sarcomatoid adenomyometritis.Zentralbl Gynakol. 1919; 43: 745-750
- Initial endometriosis showing direct morphologic evidence of metaplasia in the pathogenesis of ovarian endometriosis.Int J Gynecol Pathol. 2005; 24: 164-172
- Endometriosis may be generated by mimicking the ontogenetic development of the female genital tract.Fertil Steril. 2007; 87: 651-656
- Endometriosis in a patient with Rokitansky-Kuster-Hauser syndrome.J Obstet Gynaecol Res. 2009; 35: 994-996
- Adenomyosis in a patient with the Rokitansky-Kuster-Hauser syndrome.Fertil Steril. 2000; 73: 862-863
Published online: June 27, 2011
Received: February 25, 2011
© 2011 Elsevier Ireland Ltd. Published by Elsevier Inc. All rights reserved.