PMC6801358_01
PMC6801358_02
Growth curve and the process of uterus identification in the patient. A uterus could
to be detected during the early stages of the disorder despite the use of
ultrasonography, vaginography, and MRI. Primary hypogonadism was diagnosed based on
the findings of an LH-releasing hormone stimulation test, and conjugated estrogen
treatment was initiated at 9 yr of age. Irregular vaginal bleeding started at 16 yr of
age.
cpe-28-135-g001.jpg
PMC6801358_02_cpe-28-135-g001.jpg
fig_001
The patient's growth curve is shown in Fig. 1. Thus, due to the assumed uterus absence, no progesterone derivative was administered (Fig. 1).
Identification of the uterus using MRI. The patient underwent an MRI due to irregular
vaginal bleeding starting at 16 yr of age. The presence of a uterus (arrow) was
confirmed for the first time.
cpe-28-135-g002.jpg
PMC6801358_02_cpe-28-135-g002.jpg
fig_002
An atypical genital bleeding of seven months' duration, starting at 16 yr of age, prompted the performance of a transvaginal ultrasonography, a vaginography, and an MRI, and a uterus was detected (Fig. 2).