Adenomyosis in a Mullerian Remnant

Abstract

Adenomyosis in a Mullerian Remnant The objective of this article is to report a rare mullerian anomaly and adenomyosis in the mullerian remnant in a patient with MRKH. A 28-year-old single female with primary amenorrhea and intermittent abdominal pain had been diagnosed with a right mullerian remnant that is associated with a cavity and functional endometrium causing hematometra with pain. Adenomyosis is caused by hematometra. The left mullerian duct was not developed. She had laparoscopy and right unilateral rudimentary uterus was found and resected. Adenomyosis in the mullerian remnant was described histologically. This is an unusual mullerian anomaly, since complete unilateral agenesis of one mullerian duct is often associated with ipsilateral renal agenesis but the patient had two normal kidneys. Unicornuate uterus is associated with normal vagina that was not found in the present case.