{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T11:27:45Z","timestamp":1787570865065,"version":"build-2736575974"},"reference-count":12,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,8,5]]},"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:p>Mayer-Rokitansky-K\u00fcster-Hauser (MRKH) syndrome is a rare congenital condition marked by absence of the uterus and upper two-thirds of the vagina in females with a 46, XX karyotype. Type II MRKH includes renal, skeletal and occasionally cardiac or auditory anomalies. An early adolescent girl presented with lifelong dribbling of urine and recurrent urinary tract infection. She had normal external genitalia, was at Tanner Stage II and showed mild thoracic scoliosis. Abdominal ultrasonography demonstrated a horseshoe kidney with bilateral ectopic ureters, uterine agenesis and absence of the upper two-thirds of the vagina. These findings were confirmed on CT and MRI. Karyotyping was 46, XX; hearing and cardiac evaluations were normal. A multidisciplinary team advised ureteric reimplantation and planned vaginoplasty. This case illustrates an early atypical presentation of MRKH Type II. In girls with complex urinary anomalies, especially renal defects, MRKH should be considered\u2014even before puberty.<\/jats:p>","DOI":"10.1136\/bcr-2025-267615","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T11:15:14Z","timestamp":1787570114000},"page":"e267615","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Urinary incontinence revealing Mayer-Rokitansky-K\u00fcster-Hauser syndrome in an early adolescent"],"prefix":"10.1136","volume":"19","author":[{"given":"Keta","family":"Vagha","sequence":"first","affiliation":[{"name":"Department of Paediatrics, DMIHER DU, Wardha, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0614-1851","authenticated-orcid":false,"given":"Vadlamudi","family":"Nagendra","sequence":"additional","affiliation":[{"name":"Radio-Diagnosis, Datta Meghe Institute of Higher Education & Research (Deemed to be University), Wardha, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akhita","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, Government Medical College & Hospital Chandrapur, Chandrapur, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarika","family":"Gaikwad","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, DMIHER DU, Wardha, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nayakawadi","family":"Akhil","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, DMIHER DU, Wardha, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,8,24]]},"reference":[{"key":"2026082404150539000_19.8.e267615.1","doi-asserted-by":"crossref","DOI":"10.1186\/s13023-020-01491-9","article-title":"Mayer-Rokitansky-K\u00fcster-Hauser (MRKH) syndrome: a comprehensive update","volume":"15","author":"Herlin","year":"2020","journal-title":"Orphanet J Rare Dis"},{"key":"2026082404150539000_19.8.e267615.2","article-title":"Mayer-Rokitansky-K\u00fcster-Hauser (MRKH) syndrome with unilateral pulmonary agenesis-a rarity indeed: radiologic review","volume":"2","author":"Shivalingappa","year":"2016","journal-title":"BJR Case Rep"},{"key":"2026082404150539000_19.8.e267615.3","doi-asserted-by":"crossref","DOI":"10.1186\/1750-1172-2-13","article-title":"Programme de Recherches sur les Aplasies M\u00fcll\u00e9riennes (PRAM) pram-network. coordination@ univ-rennes1 fr, Guerrier D. 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