Endometriosis and adenomyosis in a Mullerian agenesis patient: A delayed presentation

Monika Gautam, Meenakshi Chauhan, Vani Malhotra, Sushila Chaudhary, Sarika Gautam, Menka Verma
In: Asian Journal of Medical Sciences · 2024 · vol. 15(8) , pp. 179–181 · doi:10.71152/ajms.v15i8.3835 · W4406033533
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This case report details an 18-year-old patient with primary amenorrhea who presented with abdominal pain due to ovarian endometriosis and adenomyosis in a rudimentary uterine horn after vaginoplasty.

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This case report describes a patient with Mullerian agenesis who presented with abdominal pain eighteen years after undergoing vaginoplasty for primary amenorrhea. The clinical evaluation revealed the presence of endometriosis affecting both ovaries and adenomyosis within a rudimentary uterine horn, conditions resulting from continuous bleeding into functional uterine remnants. The authors highlight that obstructive uterine malformations with functioning endometrium carry a high risk of co-incident endometriosis and adenomyosis due to hematometra formation. This paper is centrally about endometriosis and adenomyosis — specifically their delayed presentation in a patient with Mullerian agenesis and a rudimentary uterine horn.

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Abstract

Mullerian duct anomalies are developmental anomalies resulting from failure in organogenesis, fusion, or the reabsorption of the paired Mullerian ducts. Endometriosis and Mullerian anomalies have a high coincidence rate. Obstructive uterine malformations with functioning endometrium have higher chances of co-incident endometriosis. Continuous bleeding into functional uterine remnants can lead to the formation of hematometra, endometriosis, and adenomyosis. We report a case of primary amenorrhea who reported 18 years after vaginoplasty with pain abdomen due to the presence of endometriosis in bilateral ovaries and adenomyosis in the rudimentary uterine horn.
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Endometriosis and adenomyosis in a Mullerian agenesis patient: A delayed presentation DOI: https://doi.org/10.71152/ajms.v15i8.3835Keywords: Endometriosis, Adenomyosis, Mullerian Agenesis, VaginoplastyAbstract Mullerian duct anomalies are developmental anomalies resulting from failure in organogenesis, fusion, or the reabsorption of the paired Mullerian ducts. Endometriosis and Mullerian anomalies have a high coincidence rate. Obstructive uterine malformations with functioning endometrium have higher chances of co-incident endometriosis. Continuous bleeding into functional uterine remnants can lead to the formation of hematometra, endometriosis, and adenomyosis. We report a case of primary amenorrhea who reported 18 years after vaginoplasty with pain abdomen due to the presence of endometriosis in bilateral ovaries and adenomyosis in the rudimentary uterine horn. Downloads Downloads Published How to Cite Issue Section License Copyright (c) 2024 Asian Journal of Medical Sciences This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. Authors who publish with this journal agree to the following terms: - The journal holds copyright and publishes the work under a Creative Commons CC-BY-NC license that permits use, distribution and reprduction in any medium, provided the original work is properly cited and is not used for commercial purposes. The journal should be recognised as the original publisher of this work. - Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal. - Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).

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