摘要
Objective: To describe a unique case of descending salpingitis and functioning endometrium in a noncavitated remnant in a patient with MayerRokitansky- kü ster- Hauser (MRKH) syndrome. Design: Case report. Setting: Second Department of Obstetrics and Gynecology, University of Athens, Aretaieion Hospital, Athens, Greece. Patient(s): A 25- year- old patient with MRKH syndrome who presented with lower abdominal pain. Intervention(s): Clinical examination, transabdominal ultrasonography, laparoscopy, laparotomy. Main Outcome Measure(s): Clinical symptoms of salpingitis and hematometra; laparoscopic and laboratory confirmation. Result(s): Laparoscopy revealed an infection of the right salpinx, and surgical excision by laparotomy revealed a noncanalized mü llerian remnant with functioning endometrium. Conclusion(s): Salpingitis can present in patients with MRKH syndrome. Probable presence of functioning endometrium must be taken under consideration.
Objective: To describe a unique case of descending salpingitis and functioning endometrium in a noncavitated remnant in a patient with MayerRokitansky- kü ster- Hauser (MRKH) syndrome. Design: Case report. Setting: Second Department of Obstetrics and Gynecology, University of Athens, Aretaieion Hospital, Athens, Greece. Patient(s): A 25- year- old patient with MRKH syndrome who presented with lower abdominal pain. Intervention(s): Clinical examination, transabdominal ultrasonography, laparoscopy, laparotomy. Main Outcome Measure(s): Clinical symptoms of salpingitis and hematometra; laparoscopic and laboratory confirmation. Result(s): Laparoscopy revealed an infection of the right salpinx, and surgical excision by laparotomy revealed a noncanalized mü llerian remnant with functioning endometrium. Conclusion(s): Salpingitis can present in patients with MRKH syndrome. Probable presence of functioning endometrium must be taken under consideration.
