A unique case of descending salpingitis and functioning endometrium in a Müllerian remnant in a woman with Mayer-Rokitansky-Küster-Hauser syndrome.
OBJECTIVE
To describe a unique case of descending salpingitis and functioning endometrium in a noncavitated mullerian remnant in a patient with Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome.


METHODS
Case report.


METHODS
Second Department of Obstetrics and Gynecology, University of Athens, Aretaieion Hospital, Athens, Greece.


METHODS
A 25-year-old patient with MRKH syndrome who presented with lower abdominal pain.


METHODS
Clinical examination, transabdominal ultrasonography, laparoscopy, laparotomy.


METHODS
Clinical symptoms of salpingitis and hematometra; laparoscopic and laboratory confirmation.


RESULTS
Laparoscopy revealed an infection of the right salpinx, and surgical excision by laparotomy revealed a noncanalized mullerian remnant with functioning endometrium.


CONCLUSIONS
Salpingitis can present in patients with MRKH syndrome. Probable presence of functioning endometrium must be taken under consideration.
Deligeoroglou
Efthimios
E
Second Department of Obstetrics and Gynecology, Medical School, University of Athens, Aretaieion Hospital, Athens, Greece.
Christopoulos
Panagiotis
P
Creatsas
George
G
D000328:Adult; D003937:Diagnosis, Differential; D004717:Endometrium / Q000473:pathology* / Q000502:physiology* / Q000601:surgery; D005260:Female; D006801:Humans; D009095:Mullerian Ducts / Q000473:pathology* / Q000601:surgery; D012488:Salpingitis / Q000175:diagnosis* / Q000601:surgery; D013577:Syndrome