PMID- 23869310 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20130722 LR - 20211021 IS - 2230-8210 (Print) IS - 2230-9500 (Electronic) IS - 2230-9500 (Linking) VI - 17 IP - 3 DP - 2013 May TI - Gonadal dysgenesis and the Mayer-Rokitansky-Kuster-Hauser Syndrome in a girl with a 46, XX karyotype: A case report and review of literature. PG - 505-8 LID - 10.4103/2230-8210.111663 [doi] AB - Mayer-Rokitansky-Kuster-Hauser (MRKH) is a characteristic syndrome in which the Mullerian structures are absent or rudimentary. It is also associated with anomalies of the genitourinary and skeletal systems. Its association with gonadal dysgenesis is extremely rare and appears to be fortuitous, independent of chromosomal anomalies. We report such a case in a 21-year-old girl who presented primary amenorrhea and impuberism. The endocrine study revealed hypergonadotrophic hypogonadism. The karyotype was normal, 46, XX. No chromosome Y was detected at the fluorescence in situ hybridization (FISH) analysis. Internal genitalia could not be identified on the pelvic ultrasound and pelvic magnetic resonance imaging. Laparoscopy disclosed concomitant ovarian dysgenesis and MRKH syndrome. There were no other associated malformations. Hormonal substitution therapy with oral conjugated estrogens was begun. The patient has been under regular follow-up for the last two years and is doing well. FAU - Kebaili, Sahbi AU - Kebaili S AD - Department of Obstetrics and Gynecology, HediChaker Hospital, 3029 Sfax, Tunisia. FAU - Chaabane, Kais AU - Chaabane K FAU - Mnif, Mouna Feki AU - Mnif MF FAU - Kamoun, Mahdi AU - Kamoun M FAU - Kacem, Faten Hadj AU - Kacem FH FAU - Guesmi, Nouha AU - Guesmi N FAU - Gassara, Hichem AU - Gassara H FAU - Dammak, Abdallah AU - Dammak A FAU - Louati, Doulira AU - Louati D FAU - Amouri, Habib AU - Amouri H FAU - Guermazi, Mohamed AU - Guermazi M LA - eng PT - Case Reports PL - India TA - Indian J Endocrinol Metab JT - Indian journal of endocrinology and metabolism JID - 101555690 PMC - PMC3712384 OTO - NOTNLM OT - Gonadal dysgenesis OT - Mayer-Rokitansky-Kuster-Hauser syndrome OT - karyotype COIS- Conflict of Interest: None declared EDAT- 2013/07/23 06:00 MHDA- 2013/07/23 06:01 PMCR- 2013/05/01 CRDT- 2013/07/23 06:00 PHST- 2013/07/23 06:00 [entrez] PHST- 2013/07/23 06:00 [pubmed] PHST- 2013/07/23 06:01 [medline] PHST- 2013/05/01 00:00 [pmc-release] AID - IJEM-17-505 [pii] AID - 10.4103/2230-8210.111663 [doi] PST - ppublish SO - Indian J Endocrinol Metab. 2013 May;17(3):505-8. doi: 10.4103/2230-8210.111663.