Does this 59-year-old liver patient have Mayer-Rokitansky-Kuster-Hauser syndrome or Rokitansky-Aschoff sinuses? Will the real Rokitansky please stand up? What are the differences between the two conditions, and which one is affecting this patient?
Mayer-Rokitansky-Kuster-Hauster syndrome (MRKHS) is a rare disorder that affects women where there is underdevelopment of the uterus and vagina with normal ovarian function and normal external genitalia. Rokitansky-Aschoff sinuses (RAs) are diverticula or outpouchings of the gallbladder, as in this case (this patient is a male, another reason to rule out MRKHS). RAs are commonly associated with chronic cholecystitis and adenmyomatosis of the gallbladder. For more case review, head to MRI Online.