Retrograde menses presented as acute stump appendicitis- Mayer-Rokitansky-Küster-Hauser syndrome

Mohammad Mohsin Arshad; Devendra Kumar; Nouran Eltantawi; Muhammad Junaid Iqbal

doi:10.1016/j.radcr.2025.11.014

Retrograde menses presented as acute stump appendicitis- Mayer-Rokitansky-Küster-Hauser syndrome

Radiol Case Rep. 2025 Dec 9;21(3):1030-1033. doi: 10.1016/j.radcr.2025.11.014. eCollection 2026 Mar.

Authors

Mohammad Mohsin Arshad¹, Devendra Kumar², Nouran Eltantawi¹, Muhammad Junaid Iqbal³

Affiliations

¹ Radiology Department, Hamad Medical Corporation, Hamad General Hospital, Al Rayyan Road, Doha 3050, Qatar.
² Radiology Department, Hamad Medical Corporation, Al Wakra Hospital, Doha, Qatar.
³ Emergency Department, Hamad Medical Corporation, Hamad General Hospital, Doha, Qatar.

Abstract

Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is an exceptionally rare condition. This article highlights its unusual presentation and the role of radiological imaging in the diagnosis and outlines an approach to management. A 17-year-old female presented to the hospital with symptoms typical of acute appendicitis. However, further evaluation revealed no menstrual bleeding, recurrent monthly abdominal pain, and the absence of a uterus on imaging. These findings raised suspicion for Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome. The presentation mimicking acute appendicitis in this context is an exceptionally rare occurrence. Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a rare condition that presents a considerable challenge in terms of diagnosis and management. A thorough clinical history, along with appropriate imaging and investigations, is essential for the timely identification of the syndrome and for guiding effective management.

Keywords: Absent uterus; Appendicitis; Mayer-Rokitansky-Küster-Hauser syndrome; Stump appendicitis.

Publication types

Case Reports