OBJECTIVE: To describe a unique case of descending salpingitis and functioning endometrium in a noncavitated mullerian remnant in a patient with Mayer-Rokitansky-Kuster-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 mullerian 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 mullerian remnant in a patient with Mayer-Rokitansky-Kuster-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 mullerian remnant with functioning endometrium. CONCLUSION(S): Salpingitis can present in patients with MRKH syndrome. Probable presence of functioning endometrium must be taken under consideration.