Presentation
Primary amenorrhea and dyspareunia.
Patient Data
The patient has no uterus and no distinct vagina. Bilateral ovaries are seen.
Case Discussion
The Mayer-Rokitansky-Küster(-Hauser) Syndrome (MRK or MRKH) presents a congenital female anomaly with agenesis of the uterus. It belongs to the Mullerian duct anomalies.
The patient does have normal adnexa and no further renal anomalies, except for a double excretory system on the left side.
Therefore this patient is considered to have the typical form (type A) of this syndrome characterized by congenital absence of the uterus and upper vagina with normal ovaries and fallopian tubes.