The authors present a case report of a giant Müllerian duct cyst in the perineum.A 37-year-old man presented with a mass with the size of 50 cm×40 cm×30 cm in the perineum.Computed tomography(CT)scan an...The authors present a case report of a giant Müllerian duct cyst in the perineum.A 37-year-old man presented with a mass with the size of 50 cm×40 cm×30 cm in the perineum.Computed tomography(CT)scan and magnetic resonance imaging(MRI)of the pelvis and perineum found a huge multilocular cystic mass.X-ray film of the pelvis showed a giant soft-tissue shadow of high density in the perineum.Voiding cystourethrogram did not show any cyst interlinked to posterior urethra.After related examinations,the patient underwent open surgical resection of the cyst.Pathologic examination confirmed the presence of a Müllerian duct cyst.Huge Müllerian duct cyst is uncommon in clinic.Treatments of Müllerian duct cysts depend on their sizes and symptoms.展开更多
<strong>Introduction:</strong><span style="font-family:;" "=""><span style="font-family:Verdana;"> Mullerian malformations are a group of malformations that r...<strong>Introduction:</strong><span style="font-family:;" "=""><span style="font-family:Verdana;"> Mullerian malformations are a group of malformations that result from an alteration of embryonic development. Most cases are asymptomatic, however, in pregnant </span><span style="font-family:Verdana;">patients</span><span style="font-family:Verdana;"> it has been associated with recurrent abortion or premature delivery. </span><b><span style="font-family:Verdana;">Case presentation:</span></b><span style="font-family:Verdana;"> 12 + 2 weeks pregnant woman consulted for abdominal pain, vomiting </span><span style="font-family:Verdana;">and</span><span style="font-family:Verdana;"> fever. During the study, a transvaginal ultrasound was performed, where two </span><span style="font-family:Verdana;">endometric</span><span style="font-family:Verdana;"> cavities and </span></span><span style="font-family:Verdana;">a </span><span style="font-family:Verdana;">pregnancy</span><span style="font-family:Verdana;"> in the right horn were observed. The evolution of the patient was torpid, reaching hypovolemic shock, resolved by an emergency laparotomy where the rupture of the right horn was found. </span><b><span style="font-family:Verdana;">Discu</span></b><b><span style="font-family:Verdana;">s</span></b><b><span style="font-family:Verdana;">sion</span></b><b><span style="font-family:Verdana;">: </span></b><span style="font-family:Verdana;">The bicornuate uterus is the consequence </span><span style="font-family:;" "=""><span style="font-family:Verdana;">of a partial fusion of the paramesonephric ducts </span><span><span style="font-family:Verdana;">during </span><span style="font-family:Verdana;">the fetal</span><span style="font-family:Verdana;"> development, resulting in two functional uterine horns. Pa</span></span><span style="font-family:Verdana;">tients with bicornuate uterus may be asymptomatic</span></span><span style="font-family:Verdana;">,</span><span style="font-family:;" "=""><span style="font-family:Verdana;"> a uterine rupture is a rare but potentially severe complication of the bicornuate uterus and is usually presented during </span><span style="font-family:Verdana;">first</span><span style="font-family:Verdana;"> and second trimester. </span><b><span style="font-family:Verdana;">Conclusions: </span></b></span><span style="font-family:Verdana;">Pregnancy with Mullerian anomalies often ha</span><span style="font-family:Verdana;">s</span><span style="font-family:;" "=""> <span style="font-family:Verdana;">preterm</span><span style="font-family:Verdana;"> delivery, IUGR </span><span style="font-family:Verdana;">and</span><span style="font-family:Verdana;"> malpresentation, and even </span></span><span style="font-family:;" "=""><span style="font-family:Verdana;">more severe complication as uterine </span><span style="font-family:Verdana;">ruptura</span><span style="font-family:Verdana;">, so, require</span></span><span style="font-family:Verdana;">s</span><span style="font-family:;" "=""><span style="font-family:Verdana;"> proper </span><span style="font-family:Verdana;">counselling</span><span style="font-family:Verdana;"> and close monitoring during </span><span style="font-family:Verdana;">antenatal</span><span style="font-family:Verdana;"> period.</span></span>展开更多
Background: Uterus didelphys is a Müllerian duct anomaly which is clinically significant because only 45% of UD patients achieve term delivery and have associated increased risk of spontaneous abortion, foetal gr...Background: Uterus didelphys is a Müllerian duct anomaly which is clinically significant because only 45% of UD patients achieve term delivery and have associated increased risk of spontaneous abortion, foetal growth retardation, mal presentation, and a significant caesarean section delivery rate. Case: A 26-year-old Gravida 2 Para 1 Abortion 1 woman with uterus didelphys and associated complete, non-communicating, longitudinal vaginal septum carries a pregnancy to term in her right uterus in rural Canada. She delivers her baby at 41 weeks gestational age via vacuum assisted spontaneous vaginal delivery. Conclusion: This case report supports more recent literature that uterus didelphys should not be considered as an absolute indication for caesarean delivery. A trial of labour is conceivable with obstetrician gynaecologist involvement in more rural centers with a care plan in place.展开更多
文摘The authors present a case report of a giant Müllerian duct cyst in the perineum.A 37-year-old man presented with a mass with the size of 50 cm×40 cm×30 cm in the perineum.Computed tomography(CT)scan and magnetic resonance imaging(MRI)of the pelvis and perineum found a huge multilocular cystic mass.X-ray film of the pelvis showed a giant soft-tissue shadow of high density in the perineum.Voiding cystourethrogram did not show any cyst interlinked to posterior urethra.After related examinations,the patient underwent open surgical resection of the cyst.Pathologic examination confirmed the presence of a Müllerian duct cyst.Huge Müllerian duct cyst is uncommon in clinic.Treatments of Müllerian duct cysts depend on their sizes and symptoms.
文摘<strong>Introduction:</strong><span style="font-family:;" "=""><span style="font-family:Verdana;"> Mullerian malformations are a group of malformations that result from an alteration of embryonic development. Most cases are asymptomatic, however, in pregnant </span><span style="font-family:Verdana;">patients</span><span style="font-family:Verdana;"> it has been associated with recurrent abortion or premature delivery. </span><b><span style="font-family:Verdana;">Case presentation:</span></b><span style="font-family:Verdana;"> 12 + 2 weeks pregnant woman consulted for abdominal pain, vomiting </span><span style="font-family:Verdana;">and</span><span style="font-family:Verdana;"> fever. During the study, a transvaginal ultrasound was performed, where two </span><span style="font-family:Verdana;">endometric</span><span style="font-family:Verdana;"> cavities and </span></span><span style="font-family:Verdana;">a </span><span style="font-family:Verdana;">pregnancy</span><span style="font-family:Verdana;"> in the right horn were observed. The evolution of the patient was torpid, reaching hypovolemic shock, resolved by an emergency laparotomy where the rupture of the right horn was found. </span><b><span style="font-family:Verdana;">Discu</span></b><b><span style="font-family:Verdana;">s</span></b><b><span style="font-family:Verdana;">sion</span></b><b><span style="font-family:Verdana;">: </span></b><span style="font-family:Verdana;">The bicornuate uterus is the consequence </span><span style="font-family:;" "=""><span style="font-family:Verdana;">of a partial fusion of the paramesonephric ducts </span><span><span style="font-family:Verdana;">during </span><span style="font-family:Verdana;">the fetal</span><span style="font-family:Verdana;"> development, resulting in two functional uterine horns. Pa</span></span><span style="font-family:Verdana;">tients with bicornuate uterus may be asymptomatic</span></span><span style="font-family:Verdana;">,</span><span style="font-family:;" "=""><span style="font-family:Verdana;"> a uterine rupture is a rare but potentially severe complication of the bicornuate uterus and is usually presented during </span><span style="font-family:Verdana;">first</span><span style="font-family:Verdana;"> and second trimester. </span><b><span style="font-family:Verdana;">Conclusions: </span></b></span><span style="font-family:Verdana;">Pregnancy with Mullerian anomalies often ha</span><span style="font-family:Verdana;">s</span><span style="font-family:;" "=""> <span style="font-family:Verdana;">preterm</span><span style="font-family:Verdana;"> delivery, IUGR </span><span style="font-family:Verdana;">and</span><span style="font-family:Verdana;"> malpresentation, and even </span></span><span style="font-family:;" "=""><span style="font-family:Verdana;">more severe complication as uterine </span><span style="font-family:Verdana;">ruptura</span><span style="font-family:Verdana;">, so, require</span></span><span style="font-family:Verdana;">s</span><span style="font-family:;" "=""><span style="font-family:Verdana;"> proper </span><span style="font-family:Verdana;">counselling</span><span style="font-family:Verdana;"> and close monitoring during </span><span style="font-family:Verdana;">antenatal</span><span style="font-family:Verdana;"> period.</span></span>
文摘目的探讨MRI对苗勒氏管囊肿诊断的价值. 方法回顾性分析8例苗勒氏管囊肿患者的临床症状、磁共振表现. 结果所有病例均表现为前列腺中线部位,精阜水平上方,类圆形长T1,长T2信号,在各个扫描序列上其信号与尿液呈等信号,直径为1.5~3.0 cm. 结论根据囊性病变的临床表现,MRI征象和部位特点可以对苗勒氏管囊肿做出明确诊断.
文摘Background: Uterus didelphys is a Müllerian duct anomaly which is clinically significant because only 45% of UD patients achieve term delivery and have associated increased risk of spontaneous abortion, foetal growth retardation, mal presentation, and a significant caesarean section delivery rate. Case: A 26-year-old Gravida 2 Para 1 Abortion 1 woman with uterus didelphys and associated complete, non-communicating, longitudinal vaginal septum carries a pregnancy to term in her right uterus in rural Canada. She delivers her baby at 41 weeks gestational age via vacuum assisted spontaneous vaginal delivery. Conclusion: This case report supports more recent literature that uterus didelphys should not be considered as an absolute indication for caesarean delivery. A trial of labour is conceivable with obstetrician gynaecologist involvement in more rural centers with a care plan in place.