A 18-year-old girl with primary amenorrhoea having well developed secondary sexual characters and lower one third of vagina consulted me for pain and swelling of lower abdomen for last two months. The pain is dragging and not happening monthly. It was a hard mass with smooth surface moving side to side. The mass was freely moving above-downward on per-rectal examination. USG features were suggestive of a fibroid but did not reveal any cervix. What would be the differential diagnosis? I did laparoscopy and MRI and finally removed the mass.
1. imperforate hymen
2.dermoid cyst.
3. testicular feminization syndrome
It was a pure case of RKH syndrome with a mass in abdomen.
The common DDs are
- Hematometra
- Ovarian Cyst
- Dysgerminoma
- Fibroid
All the DDs mentioned above are evidenced based. I managed the case successfully.
@prabhat ch mondal: how did u diagnose the case?
my d/d s are close enough i think....what about the mass u have mentioned?
The mass was freely mobile attached with a stalk only. It is very interesting case.
I have collected all the articles since its first reporting in index journal. Thanks for the reference. I did not remove it laparoscopically.
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