Endometriosis in a patient with Rokitansky-Kuster-Hauser syndrome.
Endometriosis in Rokitansky-Kuster-Hauser syndrome has been reported only once previously. We present here a case of endometrioma in a patient with Rokitansky-Kuster-Hauser syndrome. A 26-year-old patient with Rokitansky-Kuster-Hauser syndrome presented with abrupt pain in the left iliac quadrant. A mass was confirmed by sonography. Laparoscopic inspection revealed no uterus. The mass was removed laparoscopically. Endometriosis was confirmed histologically. If endometrioma in a patient with Rokitansky-Kuster-Hauser syndrome is associated with a small rudimentary unicornis uterus with a small endometrial cavity, endometriosis can be assumed to have developed by retrograde menstruation theory. Because the patient did not have a functioning endometrium, her endometrioma is assumed to have arisen from coelomic metaplasia.
Department of Obstetrics and Gynecology, Chonnam National University Medical School, Gwangju, Korea.
Moon Kyoung
MK
Cho
Cheol Hong
CH
Kim
Sung Tack
ST
Oh
D000015:Abnormalities, Multiple / Q000601:surgery*; D000328:Adult; D004715:Endometriosis / Q000150:complications / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D009095:Mullerian Ducts / Q000002:abnormalities; D010049:Ovarian Diseases / Q000150:complications / Q000473:pathology* / Q000601:surgery; D017699:Pelvic Pain / Q000209:etiology / Q000601:surgery; D016896:Treatment Outcome; D014599:Uterus / Q000002:abnormalities / Q000601:surgery; D014621:Vagina / Q000002:abnormalities