Lima Mario, Cantone Noemi, Destro Francesca, Ruggeri Giovanni
Department of Pediatric Surgery, S. Orsola-Malpighi Hospital, University of Bologna , Bologna, Italy .
J Laparoendosc Adv Surg Tech A. 2013 Nov;23(11):960-4. doi: 10.1089/lap.2013.0171. Epub 2013 Aug 22.
Müllerian duct anomalies include a wide spectrum of genital tract defects resulting from a development alteration of the genital tract. An 11-year-old girl with a hybrid septate variety uterus with left hemi-obstruction was identified. Beside preoperative imaging evaluation done with ultrasound, magnetic resonance, and hysterosalpingography, a combined laparoscopic and hysteroscopic procedure was fundamental for the diagnosis. The surgical procedure also allowed us to perform a successful and safe treatment. We propose that the American Fertility Society classification of these anomalies should be revised and that hybrid entities should be considered in the differential diagnosis of genital tract malformations.
苗勒管异常包括一系列因生殖道发育改变而导致的生殖道缺陷。一名11岁患有混合型纵隔子宫伴左侧半梗阻的女孩被确诊。除了术前通过超声、磁共振成像和子宫输卵管造影进行影像学评估外，腹腔镜和宫腔镜联合手术对诊断至关重要。该手术还使我们能够成功且安全地进行治疗。我们建议应修订美国生育协会对这些异常情况的分类，并且在生殖道畸形的鉴别诊断中应考虑混合型实体。
