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Fig. 3A —15-year-old girl with primary amenorrhea, pelvic pain, and
vaginal agenesis on clinical examination (patient 7 in
Table 4). Uterus was visualized
at laparotomy performed at another institution. MRI was requested to evaluate
cervix. Sagittal (A) and long-axis (B) T2-weighted fast
spin-echo (SE) images (TR/TE, 5,200/96) show lack of normal endometrial
stripe. Instead, uterus is filled with blood seen as high signal intensity
(white arrow, C) on axial T1-weighted SE image (C)
(600/12) and as dark signal intensity (white arrows, A and
B) on T2-weighted images (A and B). Cervix is identified,
but normal cervical canal is not seen. High-signal-intensity structures
(black arrows) are blood-filled cysts. Total abdominal hysterectomy
showed cervical dysgenesis and absence of endocervical canal.
