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一名21岁原发性闭经患者双侧盆腔侧壁附着双侧异位发育不全子宫：首例发表报告

Bilateral ectopic hypoplastic uteri attached to bilateral pelvic sidewalls in a 21-year-old patient with primary amenorrhea: the first published report.

作者信息

Nazer Ahmed, Abu-Zaid Ahmed, Alomar Osama, Salem Hany, Azzam Ayman, Al-Badawi Ismail A

机构信息

Department of Obstetrics and Gynecology, King Faisal Specialist Hospital and Research Center (KFSH&RC), P.O. Box 3354, Riyadh 11211, Saudi Arabia.

出版信息

Case Rep Obstet Gynecol. 2013;2013:450165. doi: 10.1155/2013/450165. Epub 2013 Oct 31.

DOI:10.1155/2013/450165
PMID:24288635
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3833282/
Abstract

Müllerian duct anomalies (MDAs) encompass a group of anatomical malformations resulting from defective development, fusion, migration, or resorption of Müllerian (paramesonephric) ducts during embryonic life. Herein, we report the first case of an exceedingly uncommon MDA (bilateral ectopic hypoplastic uteri attached to bilateral pelvic sidewalls) in a 21-year-old woman who was referred to our tertiary care center as a case of primary amenorrhea for workup and further management.

摘要

苗勒管异常（MDAs）包括一组由于胚胎期苗勒管（副中肾管）发育、融合、迁移或吸收缺陷而导致的解剖学畸形。在此，我们报告首例极其罕见的苗勒管异常病例（双侧异位发育不全子宫附着于双侧盆腔侧壁），该病例为一名21岁女性，因原发性闭经转诊至我们的三级医疗中心进行检查和进一步治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/847b/3833282/fac5dab454fc/CRIM.OBGYN2013-450165.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/847b/3833282/587656a55513/CRIM.OBGYN2013-450165.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/847b/3833282/fac5dab454fc/CRIM.OBGYN2013-450165.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/847b/3833282/587656a55513/CRIM.OBGYN2013-450165.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/847b/3833282/fac5dab454fc/CRIM.OBGYN2013-450165.002.jpg

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本文引用的文献

1
Müllerian duct anomalies and mimics in children and adolescents: correlative intraoperative assessment with clinical imaging.儿童和青少年苗勒管异常及类似病变：临床影像与术中相关评估
Radiographics. 2009 Jul-Aug;29(4):1085-103. doi: 10.1148/rg.294085737.
2
Mullerian duct anomalies: from diagnosis to intervention.苗勒管畸形：从诊断到干预。
Br J Radiol. 2009 Dec;82(984):1034-42. doi: 10.1259/bjr/99354802. Epub 2009 May 11.
3
The role of 3-dimensional ultrasonography and magnetic resonance imaging in the diagnosis of müllerian duct anomalies: a review of the literature.
三维超声检查和磁共振成像在苗勒管异常诊断中的作用：文献综述
J Ultrasound Med. 2008 Mar;27(3):413-23. doi: 10.7863/jum.2008.27.3.413.
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Müllerian duct anomalies: comparison of MRI diagnosis and clinical diagnosis.苗勒管异常：MRI诊断与临床诊断的比较
AJR Am J Roentgenol. 2007 Dec;189(6):1294-302. doi: 10.2214/AJR.07.2494.
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Diagnosis of Mullerian anomalies in adults: evaluation of practice.成人苗勒管异常的诊断：实践评估
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Septums and synechiae: approaches to surgical correction.鼻中隔和粘连：手术矫正方法
Clin Obstet Gynecol. 2006 Dec;49(4):767-88. doi: 10.1097/01.grf.0000211948.36465.a6.
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Is hysterosalpingography able to diagnose all uterine malformations correctly? A retrospective study.子宫输卵管造影术能否正确诊断所有子宫畸形？一项回顾性研究。
Eur J Radiol. 2005 Feb;53(2):274-9. doi: 10.1016/j.ejrad.2004.04.004.
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Imaging diagnosis of congenital uterine malformation.先天性子宫畸形的影像学诊断
Comput Med Imaging Graph. 2004 Oct;28(7):425-33. doi: 10.1016/j.compmedimag.2004.05.008.
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Mullerian duct anomalies: imaging and clinical issues.苗勒管异常：影像学与临床问题
Radiology. 2004 Oct;233(1):19-34. doi: 10.1148/radiol.2331020777. Epub 2004 Aug 18.
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MRI appearances of müllerian duct abnormalities.苗勒管异常的磁共振成像表现。
Clin Radiol. 2003 Oct;58(10):747-54. doi: 10.1016/s0009-9260(03)00212-5.