
A rare case of adult ovarian hernia in MRKH syndrome
Author(s) -
Himansu Shekhar Mohanty,
Kapil Shirodkar,
Aruna R Patil,
Navin Rojed,
Govindrajan Mallarajapatna,
Shrivalli Nandikoor
Publication year - 2017
Publication title -
bjr case reports
Language(s) - English
Resource type - Journals
ISSN - 2055-7159
DOI - 10.1259/bjrcr.20160080
Subject(s) - medicine , cervix , uterus , vagina , mayer rokitansky kuster hauser syndrome , inguinal hernia , inguinal canal , abdomen , hernia , gynecology , anatomy , surgery , cancer
Inguinal hernias containing ovary have a documented incidence of 3%. Most of the cases are associated with congenital anomalies of genital tract such as Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome. A 20-year-old female presented with primary amenorrhoea, normal secondary sexual characteristics and genetic karyotyping showing 46XX chromosome. On USG abdomen and pelvis examination complete absence of uterus, cervix and vagina was found. Both the ovaries were seen away from normal anatomical location in bilateral inguinal canal without significant complication. MRI study confirmed agenesis of uterus, cervix and vagina; bilateral inguinal hernia with ovaries as contents. Type 1 MRKH syndrome with bilateral ovarian hernias was diagnosed.