Martínez-Escoriza Juan Carlos, Palacios-Marqués Ana, Oliva-García Ana Belén, Ballester-Galiana Hortensia
Department of Obstetrics and Gynecology, University General Hospital of Alicante, Alicante, Spain.
BMJ Case Rep. 2013 Sep 30;2013:bcr2013200923. doi: 10.1136/bcr-2013-200923.
The study described diagnostic and therapeutic processes for an exceptional congenital female genital anomaly involving a 15-year-old girl with progressive dysmenorrhoea and intense abdominal pain, and analyses pathogenesis of embryological anomalies associated with uterine duplicity (UD). Diagnostic methodology is analysed; treatment is described; and recommendations are provided. For the study of anomalies such as UD, we recommend the use of an ultrasound, vaginoscopy, MRI and laparoscopy imaging. Keeping in mind that hemihysterectomy should only be performed in cases with endometriosis or other unusual circumstances, surgical treatment should be avoided. A complete study based on gynaecological examination and ultrasound should be performed in adolescents with severe and progressive dysmenorrhoea. Based on the findings, imaging tests such as MRI and, if necessary, laparoscopy coinciding with menstruation, should be conducted before opting for surgical treatment.
该研究描述了一名15岁患有进行性痛经和剧烈腹痛的先天性女性生殖器异常病例的诊断和治疗过程，并分析了与双子宫（UD）相关的胚胎学异常的发病机制。分析了诊断方法；描述了治疗过程；并提供了建议。对于诸如双子宫等异常情况的研究，我们建议使用超声、阴道镜检查、磁共振成像（MRI）和腹腔镜成像。要记住，半子宫切除术仅应在患有子宫内膜异位症或其他特殊情况下进行，应避免手术治疗。对于患有严重进行性痛经的青少年，应基于妇科检查和超声进行全面研究。根据检查结果，在选择手术治疗之前，应进行MRI等影像学检查，必要时还应在月经期间进行腹腔镜检查。
