一名15岁女孩的双子宫伴双侧宫颈闭锁
Uterine Didelphys with Bilateral Cervical Agenesis in a 15-Year-Old Girl.
作者信息
Arnold Kate C, Thai Theresa C, Craig LaTasha B
机构信息
Department of Obstetrics and Gynecology, University of Oklahoma Health Science Center, Oklahoma City, Oklahoma.
Department of Radiology, University of Oklahoma Health Science Center, Oklahoma City, Oklahoma.
出版信息
J Pediatr Adolesc Gynecol. 2018 Feb;31(1):64-66. doi: 10.1016/j.jpag.2017.08.001. Epub 2017 Aug 12.
BACKGROUND
Isolated uterine didelphys requires no treatment in contrast to cervical agenesis, which requires a hysterectomy. Because of this, correct diagnosis of Müllerian anomalies is paramount for making recommendations for patient care.
CASE
A 15-year-old girl presented to clinic with pelvic pain and primary amenorrhea. Uterine didelphys with bilateral cervical agenesis was diagnosed using imaging. Hysterectomy was recommended and diagnosis was confirmed at surgery and according to anatomic pathology.
SUMMARY AND CONCLUSION
Our patient with uterine didelphys with bilateral cervical agenesis presented a diagnostic challenge, because, to our knowledge, it has never been reported before in the literature. Her pattern of anomalies had significant implications for future fertility. Radiology exam was vital to confirming this diagnosis in a young, virginal female patient.
背景
与需要进行子宫切除术的宫颈发育不全不同，孤立性双子宫无需治疗。因此，正确诊断苗勒管异常对于为患者护理提供建议至关重要。
病例
一名15岁女孩因盆腔疼痛和原发性闭经就诊。通过影像学诊断为双子宫伴双侧宫颈发育不全。建议进行子宫切除术，手术及解剖病理学检查均证实了诊断。
总结与结论
我们的双子宫伴双侧宫颈发育不全患者带来了诊断挑战，因为据我们所知，此前文献中从未有过相关报道。她的异常模式对未来生育有重大影响。放射学检查对于确诊一名年轻的未婚女性患者至关重要。
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