alexa Primary Amenorrhea Secondary to Mullerian Anomaly | OMICS International | Abstract
ISSN: 2165-7920

Journal of Clinical Case Reports
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Special Issue Article

Primary Amenorrhea Secondary to Mullerian Anomaly

Elif Sagsak, Asan Onder*, Fatma Doga Ocal, Yasemin Tasci, Sebahat Yilmaz Agladioglu, Semra Cetinkaya and Zehra Aycan
Dr. Sami Ulus Obstetrics and Gynecology, Pediatric Health and Disease Training and Research Hospital Pediatric Endocrinology Clinic, Turkey
Corresponding Author : Asan Onder
Dr Sami Ulus Obstetrics and Gynecology
Pediatric Health and Disease Training and Research Hospital Pediatric Endocrinology Clinic, Turkey
Tel: +90 (312) 30565 08
Fax: +90 (312) 31703 53
E-mail: [email protected]
Received March 09, 2014; Accepted March 27, 2014; Published March 31, 2014
Citation: Sagsak E, Onder A, Ocal FD, Tasci Y, Agladioglu SY, et al. (2014) Primary Amenorrhea Secondary to Mullerian Anomaly. J Clin Case Rep S1:007. doi:10.4172/2165-7920.S1-007
Copyright: © 2014 Sagsak E, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Mullerian developmental anomalies are rare causes of primary amenorrhea in 46, XX adolescent girls. The aim to report this case is that Mullerian anomalies should be considered between the differential diagnosis of primary amenorrhea to prevent the delaying of the diagnosis. A 15 year-old female patient presented with a complaint of not menstruating. Medical history revealed an appendectomy at the age of 9 years, and surgical intervention due to a right para-ovarian hemorrhagic cyst at the age of 12 years. Apelvic Magnetic Resonance Imaging (MRI) evaluation revealed two uteri, one of which was rudimentary. Normal-sized uterus was not continued byvaginal lumen; however, the rudimentary uterus was connected with vaginal lumen. A hemorrhage to peritoneal cavity was suspected by pediatric endocrinologist and referred to gynecologist and radiologist for detailed investigation. It was concluded that the previously excised cyst might be bleeding into the peritoneal cavity as a result of menstruation. Then, the patient was scheduled for surgery.

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