A Case Report of Coital Trauma to the Genital Tract in a Patient with Mayer-Rokitansky-Küster-Hauser (MRKH) Syndrome: Diagnostic Imaging and Surgical Management

Ghazaleh  Salehabadi; Nedasadat  Rezaei; Somayeh Noei  Teymoordash; Ramin  Ebrahimi; Peyman  Famili; Manizhe Ataee  Kachuee

doi:10.18502/crcp.v10i6.21608

Ghazaleh Salehabadi Firoozgar Clinical Research and Development Center (FCRDC), Department of Radiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Nedasadat Rezaei Firoozgar Clinical Research and Development Center (FCRDC), Department of Radiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Somayeh Noei Teymoordash Firoozgar Clinical Research and Development Center (FCRDC), Department of Obstetrics and Gynecology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Ramin Ebrahimi Firoozgar Clinical Research and Development Center (FCRDC), Department of Radiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Peyman Famili Firoozgar Clinical Research and Development Center (FCRDC), Department of Radiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Manizhe Ataee Kachuee Firoozgar Clinical Research and Development Center (FCRDC), Department of Radiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/crcp.v10i6.21608

Keywords: Müllerian duct anomaly; Mayer-rokitansky-küster- hauser syndrome (MRKH syndrome); Vaginal atresia

Abstract

Mülle rian duct anomalies (MDAs) are congenital malf orma tions resulting fr om abnormal developmen t of the Müllerian ducts. Among these anomalies, Mayer- Rokit ansky -Küster-Hause r (MRKH) syndr ome, char acterized by uterine and vaginal agenesis or aplasia, is a severe form often presenting with primar y ame norrhe a. This case involves a 25-year-old woman with vaginal bleeding , diagnosed by MRI as having MRK H syndr ome with cer vicovaginal atresia and unde scende d ovarie s. The patient unde rwent hysteroscopy and impr oved pos t-sur gery. MRKH syndr ome requir es a multidisciplinary appr oach f or manag ement, including surgical in tervention, psychologic al support, and fertility counseling , highligh ting the import ance of early diagnosis and pe rsonaliz ed c are