Müllerian Agenesis Masquerading as Secondary Amenorrhea
The most common cause of primary amenorrhea is congenital malformation of the Müllerian ducts, including Müllerian agenesis, also known as Mayer–Rokitansky–Küster–Hauser syndrome (MRKH). Most general gynecologists and primary care physicians who see female adolescents will encounter MRKH in their ca...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2018/6912351 |
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| _version_ | 1832550667098521600 |
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| author | Gloria Tavera Rina Lazebnik |
| author_facet | Gloria Tavera Rina Lazebnik |
| author_sort | Gloria Tavera |
| collection | DOAJ |
| description | The most common cause of primary amenorrhea is congenital malformation of the Müllerian ducts, including Müllerian agenesis, also known as Mayer–Rokitansky–Küster–Hauser syndrome (MRKH). Most general gynecologists and primary care physicians who see female adolescents will encounter MRKH in their careers. We present the case of an adolescent with MRKH who reported secondary, instead of primary amenorrhea. We discuss the subtleties of diagnosing MRKH, especially when patient history may not always be accurate. Because MRKH had not been included in the differential diagnosis for delayed menses, this patient was initially misdiagnosed. Delayed diagnosis of MRKH may harm patients by delaying assessment of concomitant renal, skeletal, hearing, and cardiac defects, which might otherwise impact the treatment plan. |
| format | Article |
| id | doaj-art-f57d7f9e01f141a6941699f3e4231bca |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-f57d7f9e01f141a6941699f3e4231bca2025-02-03T06:06:13ZengWileyCase Reports in Pediatrics2090-68032090-68112018-01-01201810.1155/2018/69123516912351Müllerian Agenesis Masquerading as Secondary AmenorrheaGloria Tavera0Rina Lazebnik1Case Western Reserve University School of Medicine, Cleveland, OH, USADepartment of General Pediatrics and Adolescent Medicine, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USAThe most common cause of primary amenorrhea is congenital malformation of the Müllerian ducts, including Müllerian agenesis, also known as Mayer–Rokitansky–Küster–Hauser syndrome (MRKH). Most general gynecologists and primary care physicians who see female adolescents will encounter MRKH in their careers. We present the case of an adolescent with MRKH who reported secondary, instead of primary amenorrhea. We discuss the subtleties of diagnosing MRKH, especially when patient history may not always be accurate. Because MRKH had not been included in the differential diagnosis for delayed menses, this patient was initially misdiagnosed. Delayed diagnosis of MRKH may harm patients by delaying assessment of concomitant renal, skeletal, hearing, and cardiac defects, which might otherwise impact the treatment plan.http://dx.doi.org/10.1155/2018/6912351 |
| spellingShingle | Gloria Tavera Rina Lazebnik Müllerian Agenesis Masquerading as Secondary Amenorrhea Case Reports in Pediatrics |
| title | Müllerian Agenesis Masquerading as Secondary Amenorrhea |
| title_full | Müllerian Agenesis Masquerading as Secondary Amenorrhea |
| title_fullStr | Müllerian Agenesis Masquerading as Secondary Amenorrhea |
| title_full_unstemmed | Müllerian Agenesis Masquerading as Secondary Amenorrhea |
| title_short | Müllerian Agenesis Masquerading as Secondary Amenorrhea |
| title_sort | mullerian agenesis masquerading as secondary amenorrhea |
| url | http://dx.doi.org/10.1155/2018/6912351 |
| work_keys_str_mv | AT gloriatavera mullerianagenesismasqueradingassecondaryamenorrhea AT rinalazebnik mullerianagenesismasqueradingassecondaryamenorrhea |