Journal of Womens Health, Issues and CareISSN: 2325-9795

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Case Report, J Womens Health Issues Care Vol: 4 Issue: 5

Adenomyosis in a Mullerian Remnant

Dania Al-Jaroudi*, Ahmad Al-Badr and Faryal A Khan
Women’s Specialized Hospital, Reproductive Infertility and Medicine Department, King Fahad Medical City, P.O.BOX 59046, Riyadh, Saudi Arabia.
Corresponding author : Dania Al-Jaroudi
Women’s Specialized Hospital, Reproductive Infertility and Medicine Department, King Fahad Medical City, P.O. BOX 59046, Riyadh, Saudi Arabia 11525
Tel: +9661-288 9999 to 21100; Tel: +9665- 04435931
Received: September 13, 2015 Accepted: October 12, 2015 Published: October 15, 2015
Citation: Al-Jaroudi D, Al-Badr A, Khan FA (2015) Adenomyosis in a Müllerian Remnant. J Womens Health, Issues Care 4:5. doi:10.4172/2325-9795.1000205


Adenomyosis in a Müllerian Remnant

The objective of this article is to report a rare müllerian anomaly and adenomyosis in the müllerian remnant in a patient with MRKH. A 28-year-old single female with primary amenorrhea and intermittent abdominal pain had been diagnosed with a right müllerian remnant that is associated with a cavity and functional endometrium causing hematometra with pain. Adenomyosis is caused by hematometra. The left müllerian duct was not developed. She had laparoscopy and right unilateral rudimentary uterus was found and resected. Adenomyosis in the müllerian remnant was described histologically. This is an unusual müllerian anomaly, since complete unilateral agenesis of one müllerian duct is often associated with ipsilateral renal agenesis but the patient had two normal kidneys. Unicornuate uterus is associated with normal vagina that was not found in the present case.

Keywords: Primary amenorrhea; Rudimentary uterus; Non-communicating müllerian anomaly; Adenomyosis; MRKH

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