Journal of Clinical Case Reports

Primary Amenorrhea Secondary to Mullerian Anomaly

Abstract

Elif Sagsak, Asan Onder, Fatma Doga Ocal, Yasemin Tasci, Sebahat Yilmaz Agladioglu, Semra Cetinkaya and Zehra Aycan

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.