Mayer-Rokitansky-Kuster-Hauser syndrome complicated with giant mucinous cystadenoma and inguinal herniation: case report

• Published in: Oxford Medical Case Reports 2024-04, Vol.2024 (4), p.omae036
• Main Authors: Susilo, Artha Falentin Putri, Suryawan, Alfonsus Zeus, Tjandraprawira, Kevin Dominique, Rachmawati, Anita
• Format: Article
• Language: English
• ISSN: 2053-8855; 2053-8855
• DOI: 10.1093/omcr/omae036

Coexistence of Mayer-Rokitansky-Kuster-Hauster syndrome (MRKH) with other conditions is rare, especially when MRKH was found in a young woman presenting with ovarian malignancy. This case report wishes to highlight MRKH complicated with giant mucinous cystadenoma and bilateral inguinal hernia. A 22-year-old nulligravid woman was admitted with primary amenorrhea and abdominal mass. Abdominal examination revealed a cystic mass 25 × 25 × 20 cm in size and a vagina 1 cm in length. Pelvic magnetic resonance imaging (MRI) showed a giant multiloculated left ovarian mass amidst the absence of uterus. During the surgery, the giant multiloculated cystic mass was identified as mucinous cystadenoma on frozen section. Bilateral medial inguinal hernia was also identified. MRKH coexisting with other disease is rare but considering other structures arising from paramesonephric duct (PMD) may exist, allows the possibility of other structural anomalies. The present report illustrates a rare case of MRKH syndrome with giant ovarian cystadenoma and inguinal hernia.