van Dam Mark J C M, Zegers Bas S H J, Schreuder Michiel F
Department of Pediatrics, Máxima Medical Center, Veldhoven, Netherlands.
Department of Pediatrics, Maastricht University Medical Center, Maastricht, Netherlands.
Front Pediatr. 2021 Dec 14;9:791499. doi: 10.3389/fped.2021.791499. eCollection 2021.
Unilateral renal agenesis and multicystic dysplastic kidney, resulting in a contralateral solitary functioning kidney (SFK), are part of the broad spectrum of congenital anomalies of the kidney and urinary tract (CAKUT). In girls with SFK, screening for asymptomatic Müllerian anomalies of uterus and vagina is not yet routinely performed, and therefore often overlooked until clinical complications in the menstrual cycle or fertility process occur. In this case series, we report on four teenagers with congenital SFK presenting with menstrual problems due to a Müllerian anomaly. Routine peri-menarchal screening for Müllerian anomalies in girls with SFK may provide timely counseling, surgical treatment and prevention of associated complications such as endometriosis, infertility and miscarriages.
单侧肾缺如和多囊性发育不良肾，导致对侧单功能肾（SFK），是先天性肾和尿路异常（CAKUT）广泛谱系的一部分。在患有SFK的女孩中，尚未常规进行子宫和阴道无症状苗勒管异常的筛查，因此，在月经周期或生育过程中出现临床并发症之前，这些异常常常被忽视。在本病例系列中，我们报告了四名患有先天性SFK的青少年，他们因苗勒管异常而出现月经问题。对患有SFK的女孩进行常规的初潮期苗勒管异常筛查，可能会提供及时的咨询、手术治疗，并预防诸如子宫内膜异位症、不孕和流产等相关并发症。
