Peculiarities of differential diagnostics and surgical treatment of complications in female patients with Mayer—Rokitansky—Küster—Hauser syndrome

A clinical observation is presented — a retrospective analysis of the medical history of a patient with Mayer—Rokitansky—Küster—Hauser syndrome and a myoma that developed from uterine ru-diments. The reasons leading to diagnostic errors in the examination of patients with complicated forms of Mayer—Rokitansky—Küster—Hauser syndrome are indicated, and an algorithm for diagno-sis and treatment is proposed that allows increasing their effectiveness. To optimize diagnostics and differential diagnostics of complications in Mayer—Rokitansky—Küster—Hauser syndrome, it is necessary to use clinical and anamnestic data, transvaginal, transabdominal, and transrectal ultra-sound, magnetic resonance imaging, tumor marker testing, laparoscopy, and histological examina-tion of the removed specimen (biopsy). The optimal volume of surgical treatment is removal of the fibroid and uterine rudiments on both sides. If their complete removal is impossible, regular monitoring is indicated for early diagnostics and treatment of possible relapse.