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Journal of Forensic Medicine and Toxicology
Year : 2023, Volume : 40, Issue : 2
First page : ( 137) Last page : ( 139)
Print ISSN : 0971-1929. Online ISSN : 0974-4568.
Article DOI : 10.5958/0974-4568.2023.00057.1

Mayer-Rokitansky-Küster-hauser syndrome- an incidental finding during autopsy: A case report

Yadav Kapil1,*, Kumar Rajeev1, Chawla Hitesh1, Singh Manpreet1, Khan Mustafa1, Yadav Renu2

1Department of Forensic Medicine & Toxicology, SHKM Govt. Medical College Nalhar, Nuh, Haryana, India

2Department of Obstetrics and Gynecology, SHKM Govt. Medical College Nalhar, Nuh, Haryana, India

*Corresponding Author Dr. Kapil Yadav, Senior Resident, Department of Forensic Medicine & Toxicology, SHKM Govt. Medical College, Nalhar

Online published on 1 April, 2024.

Abstract

Introduction

Mayer-Rokitansky-Küster-Hauser syndrome is a congenital abnormality that affects the uterus and the upper two-third of the vagina. It is expected to affect 1 in every 5000 live births. The syndrome is characterized by aplasia of the Müllerian duct (uterus and upper two-third of the vagina) in a person with karyotype 46, XX with female phenotype characteristic of primary amenorrhea in adolescence. But some people present with other complaints such as infertility, dyspareunia, or periodic pain. There are two types of Mayer-Rokitansky-Küster-Hauser syndrome: typical (isolated uterovaginal aplasia) and atypical (associated with extragenital symptoms). Renal, bone, ear, and heart abnormalities are examples of extragenital anomalies.

Case

We are hereby presenting the case of a 26 year old female brought for medico legal autopsy. On careful examination of genital organs, the incidental finding of MRKH syndrome was observed.

Conclusion

In every case, it is important to review the deceased’s medical history, psychological condition before death by speaking with family members and friends, and to examine each and every organ during the autopsy. Else, rare incidental findings may go unnoticed.

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Keywords

Mayer-Rokitansky-Küster-Hauser syndrome, Müllerian aplasia, Infertility, Autopsy, Suicide.

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