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Background <p>A broad range of Müllerian anomalies has been documented, and multiple anomalies can coexist in a single individual. Accurate identification of the different components of an anomaly is crucial for determining an effective treatment plan. This report presents an extremely rare case of a Müllerian anomaly in a 34-year-old nulliparous woman.</p> Case Presentation <p>A 34-year-old nulliparous woman presented to the outpatient department with a 6-month history of dyspareunia, without any associated menstrual irregularities or disturbances. Perineal examination revealed a blind-ending vaginal pouch measuring 1&#xa0;cm, along with a septum and a narrowed vaginal orifice. Ultrasound and pelvic MRI were critical in establishing the diagnosis of a Müllerian anomaly.</p> Discussion <p>Although this is a rare presentation, it is essential to have a structured protocol for accurate diagnosis and management of Müllerian anomalies to ensure favorable outcomes. The patient underwent a complete septal resection, which successfully addressed her symptoms. This case emphasizes the importance of early and precise diagnosis using imaging modalities such as ultrasound and MRI for planning effective treatment and improving the patient’s quality of life.</p>

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A Case Report on Müllerian Anomaly: A Conundrum

  • 期刊论文

  • 发表日期：

    2025年8月11日

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  • Vaishnavi Rajaraman,
  • Beena Kumary,
  • Lekshmi Malathi

摘要

Background

A broad range of Müllerian anomalies has been documented, and multiple anomalies can coexist in a single individual. Accurate identification of the different components of an anomaly is crucial for determining an effective treatment plan. This report presents an extremely rare case of a Müllerian anomaly in a 34-year-old nulliparous woman.

Case Presentation

A 34-year-old nulliparous woman presented to the outpatient department with a 6-month history of dyspareunia, without any associated menstrual irregularities or disturbances. Perineal examination revealed a blind-ending vaginal pouch measuring 1 cm, along with a septum and a narrowed vaginal orifice. Ultrasound and pelvic MRI were critical in establishing the diagnosis of a Müllerian anomaly.

Discussion

Although this is a rare presentation, it is essential to have a structured protocol for accurate diagnosis and management of Müllerian anomalies to ensure favorable outcomes. The patient underwent a complete septal resection, which successfully addressed her symptoms. This case emphasizes the importance of early and precise diagnosis using imaging modalities such as ultrasound and MRI for planning effective treatment and improving the patient’s quality of life.