Mayer‑Rokitansky‑Kuster‑Hauser Syndrome in an 18‑year‑old Female: The Radiodiagnostic Perspective

Müllerian duct anomalies are a group of congenital uterine disorders that arise from an arrest in development, incomplete fusion or incomplete resorption of the mesonephric ducts. They are usually asymptomatic but diagnosed incidentally. An 18‑year‑old girl presented at the gynaecology clinic with a history of primary amenorrhea and failure to develop secondary sexual characteristics. She
is the only daughter of a widow. According to the mother, her pregnancy and birth histories were normal, and delivery was by spontaneous vaginal delivery. The patient had satisfactory developmental milestones and had completed secondary school at the time of presentation. She is of average physical stature with rudimentary breasts (tanner Stage 2), lacking axillary and pubic hairs. A pelvic
examination revealed a 1.5 cm blind‑ending vaginal pouch. A radiologic evaluation was done using ultrasonography and magnetic resonance imaging showed the absence of the uterus and the ovaries. The patient and the mother were counselled on management options, including the future fertility options. The mother vehemently rejected the option of surgery and has not been seen since after that.