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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6079514/ https://www.ncbi.nlm.nih.gov/pubmed/30123604 http://dx.doi.org/10.1155/2018/6912351 |
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author | Tavera, Gloria Lazebnik, Rina |
author_facet | Tavera, Gloria Lazebnik, Rina |
author_sort | Tavera, Gloria |
collection | PubMed |
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 | Online Article Text |
id | pubmed-6079514 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-60795142018-08-19 Müllerian Agenesis Masquerading as Secondary Amenorrhea Tavera, Gloria Lazebnik, Rina Case Rep Pediatr Case Report 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. Hindawi 2018-07-19 /pmc/articles/PMC6079514/ /pubmed/30123604 http://dx.doi.org/10.1155/2018/6912351 Text en Copyright © 2018 Gloria Tavera and Rina Lazebnik. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Tavera, Gloria Lazebnik, Rina Müllerian Agenesis Masquerading as Secondary Amenorrhea |
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 | müllerian agenesis masquerading as secondary amenorrhea |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6079514/ https://www.ncbi.nlm.nih.gov/pubmed/30123604 http://dx.doi.org/10.1155/2018/6912351 |
work_keys_str_mv | AT taveragloria mullerianagenesismasqueradingassecondaryamenorrhea AT lazebnikrina mullerianagenesismasqueradingassecondaryamenorrhea |