Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 10 6 2026 06 03 A Case Report of Coital Trauma to the Genital Tract in a Patient with Mayer-Rokitansky-Küster-Hauser (MRKH) Syndrome: Diagnostic Imaging and Surgical Management 241 246 Ghazaleh Salehabadi Department of Radiology, Firoozgar Clinical Research and Development Center (FCRDC), School of Medicine, Iran University of Medical Sciences, Tehran, Iran. Nedasadat Rezaei Department of Radiology, Firoozgar Clinical Research and Development Center (FCRDC), School of Medicine, Iran University of Medical Sciences, Tehran, Iran. Somayeh Noei Teymoordash Department of Obstetrics and Gynecology, Firoozgar Clinical Research and Development Center (FCRDC), School of Medicine, Iran University of Medical Sciences, Tehran, Iran. Ramin Ebrahimi Department of Radiology, Firoozgar Clinical Research and Development Center (FCRDC), School of Medicine, Iran University of Medical Sciences, Tehran, Iran. Peyman Famili Department of Radiology, Firoozgar Clinical Research and Development Center (FCRDC), School of Medicine, Iran University of Medical Sciences, Tehran, Iran. Manizhe Ataee Kachuee Department of Radiology, Firoozgar Clinical Research and Development Center (FCRDC), School of Medicine, Iran University of Medical Sciences, Tehran, Iran. 2025 12 13 2026 05 04 Mülle rian duct anomalies (MDAs) are congenital malforma tions resulting from abnormal development of the Müllerian ducts. Among these anomalies, MayerRokit ansky -Küster-Hauser (MRKH) syndrome, characterized by uterine and vaginal agenesis or aplasia, is a severe form often presenting with primary amenorrhea. This case involves a 25-year-old woman with vaginal bleeding , diagnosed by MRI as having MRKH syndrome with cervicovaginal atresia and unde scended ovaries. The patient unde rwent hysteroscopy and improved post-surgery. MRKH syndrome requires a multidisciplinary appr oach f or manag ement, including surgical in tervention, psychologic al support, and fertility counseling , highligh ting the import ance of early diagnosis and personalized care. https://crcp.tums.ac.ir/index.php/crcp/article/view/1151 https://crcp.tums.ac.ir/index.php/crcp/article/download/1151/756