Laparoscopy for pelvic pain in the Mayer-Rokitansky-Kuster-Hauser syndrome. A case report.

Abstract

BACKGROUND:

The Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome occurs in 1 of every 4,000-5,000 female births. It is characterized by normal external genitalia, an absent vagina, absent or rudimentary uterus, and normal fallopian tubes and ovaries. When associated with a rudimentary uterine horn, cyclic catamenial pelvic pain may result. The standard procedure for pain relief has been removal of the uterine horn by laparotomy.

CASE:

A rudimentary uterine horn was diagnosed in a woman with MRKH syndrome who developed monthly severe pelvic pain. Removal of the structure was performed via laparoscopy. The patient had complete resolution of her pain.

CONCLUSION:

As an alternative to laparotomy, laparoscopic resection of a rudimentary horn in patients with MRKH syndrome is both feasible and beneficial in the treatment of pelvic pain.

• Authors: K Giatras, F Licciardi, J A Grifo
• Journal: The Journal of reproductive medicine (J Reprod Med) Vol. 43 Issue 3 Pg. 203-5 (Mar 1998) ISSN: 0024-7758 [Print] United States
• PMID: 9564646 (Publication Type: Case Reports, Journal Article)

Topics

• Abnormalities, Multiple (surgery)
• Adult
• Female
• Gynecologic Surgical Procedures (methods)
• Humans
• Laparoscopy (methods)
• Mullerian Ducts (abnormalities)
• Pelvic Pain (etiology, therapy)
• Syndrome
• Uterus (abnormalities)
• Vagina (abnormalities)