Germ Cell Tumors Ovary “Dysgerminoma” with Mayer-Rokitansky-Kuster-Hauser Syndrome

Background: Ovarian Germ Cell Tumors originate from primitive
germinal cells and can be malignant or benign. MRKH syndrome is
characterized by congenital hypoplasia of the uterus and upper vagina
and can occur due to disrupted fusion of the Mullerian ducts. Diag
nosing ovarian tumors in MRKH patients is difficult but can be char
acterized by abdominal pain and distended.
Objective: This case report aims to explain the diagnostic methods
and interventions performed in patients with ovarian tumors and
MRKH syndrome.
Case Presentation: A 25-year-old female came to the hospital com
plaining of a lower abdominal lump three months ago. It was followed
by severe pain, weight loss, shortness of breath, and yellowish vaginal
discharge. Physical examination showed anemia, obesity, and a vagina
size of 7cm with a probe. Chest X-ray showed a mass in the medias
tinum and pleural effusion, and USG showed suspicion of an ovarian
cyst and uterine agenesis.
Conclusion: Ovarian tumor with MRKH syndrome is a rare case.
The diagnosis was based on the patient's history, clinical findings, and
radiologic examination and confirmed with laparotomy and histo
pathology. Regular examinations are recommended to prevent and
identify genital tract problems and pelvic diseases in women, espe
cially adolescents.