Abstract
Article: Sonographic Detection of Mayer-Rokitansky-Küster-Hauser Syndrome
Authors: Bethany C. Rogers, RDMS, and Kelsy L. Merideth, MHS, RDMS, RDCS, RVT
Category: Ob/Gyn
Credit: 1.0 SDMS CME Credit
Objectives: After studying the article entitled “Sonographic Detection of Mayer-Rokitansky-Küster-Hauser Syndrome,” you will be able to:
Describe the different anatomic presentations of Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome
Determine how to sonographically diagnose MRKH syndrome
Describe other anomalies associated with MRKH syndrome
Skeletal anomalies occur in approximately what percentage of MRKH syndrome cases?
5%–30% 15%–40% 12%–50% 45%–80%
The third most common abnormality in patients with MRKH syndrome is related to the _____________ system.
Visual Endocrine Gastrointestinal Auditory
The incidence of MRKH syndrome in newborn females is approximately 1 in
5000 7000 9000 11,000
Urologic abnormalities occur in approximately what percentage of MRKH syndrome cases?
5%–30% 15%–40% 12%–50% 45%–80%
The best imaging modality for the initial evaluation of pediatric patients with suspected MRKH syndrome is
Pelvic computed tomography Pelvic magnetic resonance imaging Transvaginal sonography Transabdominal sonography
The most common presentation of MRKH syndrome is
Absent vagina and uterus, normal ovaries Absent vagina with normal uterus, normal ovaries Hypoplastic vagina and uterus, normal ovaries Absent vagina and uterus, hypoplastic ovaries
The most common urologic abnormality associated with MRKH syndrome is
Horseshoe kidneys Hypoplastic kidneys Absence of one kidney Splenic agenesis
The most common clinical sign of MRKH syndrome is
Decreased renal function Amenorrhea Hearing loss Limited mobility of the neck
Klippel-Feil syndrome, possibly associated with MRKH syndrome, is often characterized by
Abnormal fusion of two or more bones in the lumbar spine Anomalous attachment of cervical ribs Abnormal fusion of two or more bones within the cervical vertebrae Congenital absence of a cervical vertebra
MRKH syndrome is differentiated from other genital tract developmental abnormalities by the ___________ karyotype.
45,OX 46,XX 46,XY 46,OX
Footnotes