scholarly journals Isolated Endometrial Calcification Presenting As Primary Amenorrhoea

2014 ◽  
Vol 65 (1) ◽  
pp. 60-64
Author(s):  
Ashok Kumar Todani ◽  
Kiranlata Todani
Keyword(s):  
Primary Amenorrhoea

Primary Amenorrhoea with Pituitary Dwarfism: A rare case report

2016 ◽  
Vol 2 (2) ◽  
pp. 145-147
Author(s):  
Siva S ◽  
Divya Gopineni ◽  
Shafi P ◽  
Chandra Sekhar
Keyword(s):  
Pituitary Gland ◽  
General Medicine ◽  
Pituitary Hormones ◽  
Thyroid Stimulating Hormone ◽  
Primary Amenorrhea ◽  
Pituitary Dwarfism ◽  
Primary Amenorrhoea ◽  
Sexual Characteristics ◽  
Loss Of Appetite ◽  
Secondary Sexual

Females with pituitary dwarfism and a multiple deficiency of pituitary hormones show ovarian dysfunction due to hypogonadotropism. Primary amenorrhea can be diagnosed if a patient has normal secondary sexual characteristics but no menarche by 16 years of age. A 16 year-old female patient admitted in general medicine department with chief complaints of shortness of breath on exertion since 15 days, swelling of both legs since 10 days, loss of weight since 5 months, loss of appetite since 3 months, history of pain during swallowing. Pelvis scan examination reveals that uterus measures 3.2×0.5×0.5cm; uterus is hypo plastic, ovaries not visualized. Patient parents reveled that from patient birth to 11years of age her growth and other developments were normal, after that her growth is stopped and no changes were observed in development since 5 years. Patient has hypothyroidism so pituitary gland make an important role to maintain hormone levels, pituitary gland produces thyroid stimulating hormone (TSH) which stimulates thyroid gland to produce thyroid hormones. Primary Amenorrhea, short stature and poorly developed secondary sexual characters which could have been contributed and should be subjected for karyotyping. This type of Pituitary Dwarfism is very difficult to manage.

Uterine development: the effect of induction of puberty with oestrogen in primary Amenorrhoea

2017 ◽  
Author(s):  
Elizabeth Burt ◽  
Antoinette Pimblett ◽  
Vikram Talaulikar ◽  
Ephia Yasmin ◽  
Dimitri Mavrelos ◽  
...  
Keyword(s):  
Primary Amenorrhoea ◽  
Uterine Development

Primary amenorrhoea caused by congenital absence of the uterus

2006 ◽  
Vol 275 (3) ◽  
pp. 199-201 ◽  
Author(s):  
E. J. Harland ◽  
M. Damodaram ◽  
L. Musaib-Ali ◽  
Wai Yoong
Keyword(s):  
Congenital Absence ◽  
Primary Amenorrhoea

PRIMARY AMENORRHOEA

1978 ◽  
Vol 33 (6) ◽  
pp. 422-423
Author(s):  
JEAN GINSBURG ◽  
GLENIS SCADDING ◽  
C. W. H. HAVARD
Keyword(s):  
Primary Amenorrhoea

Atypical presentation of autoimmune polyglandular syndrome type 1 in the fifth decade

2021 ◽  
Vol 14 (4) ◽  
pp. e241680
Author(s):  
Aditya Sanjeevi ◽  
Adlyne Reena Asirvatham ◽  
Karthik Balachandran ◽  
Shriraam Mahadevan
Keyword(s):  
Adrenal Insufficiency ◽  
Vitamin D Supplementation ◽  
Chronic Mucocutaneous Candidiasis ◽  
Syndrome Type ◽  
Primary Amenorrhoea ◽  
Autoimmune Polyglandular Syndrome ◽  
Nail Changes ◽  
History Of ◽  
Autoimmune Polyglandular Syndrome Type

A 45-year-old woman presented to us with a short-term history of nausea, vomiting and giddiness. On arrival at our hospital, examination revealed postural hypotension. Fluid resuscitation with intravenous normal saline was commenced. She also had chronic mucocutaneous candidiasis and nail changes suggestive of ectodermal dystrophy. Detailed history taking revealed that she had never attained menarche. Serum biochemistries showed hyponatraemia, hyperkalaemia, and hypocalcaemia (sodium, 127 mEq/L; potassium, 6 mEq/L; and albumin-corrected calcium, 6 mg/dL). Adrenocorticotropic hormone-stimulated cortisol (16.7 mcg/dL) was suboptimal favouring adrenal insufficiency. She was started on hydrocortisone and fludrocortisone supplementation. Additionally, the parathyroid hormone was inappropriately low (3.8 pg/mL) confirming hypoparathyroidism. Oral calcium and active vitamin D supplementation were added. With the above clinical and biochemical picture, namely, clustering of primary amenorrhoea, adrenal insufficiency and hypoparathyroidism, the diagnosis pointed towards autoimmune polyglandular syndrome. Genetic workup revealed a deletion in exon 8 of the autoimmune regulator gene confirming the diagnosis of autoimmune polyendocrinopathy–candidiasis–ectodermal dystrophy/autoimmune polyglandular syndrome type 1 .

scholarly journals Turner Syndrome and Apparent Absent of Uterus : A Case Report

2010 ◽  
Vol 23 (1) ◽  
pp. 91-94
Author(s):  
Munira Ferdausi
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Normal Level ◽  
Ultrasound Examination ◽  
Cubitus Valgus ◽  
Primary Amenorrhoea ◽  
Gynecological Examination ◽  
Serum T3 ◽  
Axillary Hair ◽  
Systemic Examination

A 15 years young fair girl presented with primary amenorrhoea. Findings on her physical examination included short stature, cubitus valgus, slightly webbed neck, absent of secondary sexual characters, broad chest with widely spaced nipples and absence of pubic & axillary hair. Except for the above, her systemic examination was unremarkable. A gynecological examination failed to reveal any abnormality. Ultrasound examination of abdomen revealed absent uterus and ovaries. Serum T3, T4 were within normal level, but TSH level was in slightly raised. Plasma FSH & LH were high with low estradiol level suggestive of hypergonadotrophic hypogonadism. Karyotyping confirmed the diagnosis of Turner ’s syndrome (45, X0). TAJ 2010; 23(1): 91-94

scholarly journals Acute abdomen in a patient with Mayer-Rokitansky-Kuster-Hauser syndrome

2008 ◽  
Vol 65 (9) ◽  
pp. 706-709 ◽  
Author(s):  
Aleksandra Petric ◽  
Milan Stefanovic ◽  
Predrag Vukomanovic ◽  
Radomir Zivadinovic ◽  
Aleksandra Tubic ◽  
...  
Keyword(s):  
Acute Abdomen ◽  
Genital Tract ◽  
Female Genital Tract ◽  
Careful Examination ◽  
Normal Female ◽  
Vascular Leiomyoma ◽  
Primary Amenorrhoea ◽  
Healthy Women ◽  
Dead End ◽  
Female Genital

Background. Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome is a malformation of female genital tract (incidence 1 in 4000 female newborn children). It appears as a result of a disorder in the development of Millerian cannals. Etiology is unknown. Syndrome MRKH is the most frequent cause of primary amenorrhoea (90%). Patients with MRKH have a normal female phenotype, with normal pubic hairness and thelarche, and female karyotype (46XX) followed by primary amenorrhoea. Hormonal status corresponds to healthy women, where the appearance of ovarian tumors and tumors on rudiment parts of uterus is possible. Case report. We presented a case of acute abdomen in a patient with previously not diagnosed MRKH. The diagnosis was done during the operation. Small pelvis and an abdominal part were filled with torquated tumor lump, where ovaries, oviducts, uterus or something resembling rudiment of uterus were not recognized through careful examination. Furthemore, the patient had a short, dead-end vagina. Tumorectomy was done and hystopathological finding showed the presence of vascular leiomyoma. Conclusion. The diagnosis of complex syndromes, such as MRKH, can, despite modern diagnostics, be absent for non-medical and psycho-social reasons. We can expect ovarian and uterine pathology on hypoplastic structures in these patients, as well as in healthy women. Vascular leiomyoma in the patients with MRKH was not found in the available literature.

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