Díaz Sanginés Bertha Patricia, López Maldonado Humberto, Von Der Meden Alarcón Jahn Werner, Vallina Bocanegra Mayra, Matienzo Serment Lorena
Gynecology, Centro Medico ABC, Mexico City, MEX.
Obstetrics and Gynecology, ABC Hospital, Santa Fe Campus, Mexico City, MEX.
Cureus. 2024 Nov 10;16(11):e73384. doi: 10.7759/cureus.73384. eCollection 2024 Nov.
Müllerian anomalies (MA) occur as a result of errors during embryogenesis. These changes are associated with genetic mutations, developmental disabilities, or environmental causes that affect the embryonic development stages. This paper describes a rare case report of a 22-year-old female who came to our hospital due to dyspareunia after one year of evolution. A thorough history, physical examination, and imaging studies led to the diagnosis of a complete septate uterus with septate cervix and longitudinal vaginal septum. Abdominal computed tomography diagnosed the left extrarenal pelvis. Hysteroscopic resection of the uterine septum and vaginal septoplasty were performed without any complications. Dyspareunia improved at the six-month follow-up. The description of this case is to share our experience and contribute to all common uncommon cases of MA reports.
苗勒管异常(MA)是胚胎发育过程中出现错误的结果。这些变化与基因突变、发育障碍或影响胚胎发育阶段的环境因素有关。本文描述了一例罕见病例报告,一名22岁女性在经历一年病程后因性交困难前来我院就诊。通过详细的病史、体格检查和影像学检查,诊断为完全性纵隔子宫伴纵隔宫颈和纵向阴道隔。腹部计算机断层扫描诊断出左侧肾外肾盂。进行了宫腔镜下子宫纵隔切除术和阴道纵隔成形术,未出现任何并发症。在六个月的随访中,性交困难有所改善。本病例的描述旨在分享我们的经验,并为所有常见的不常见MA病例报告做出贡献。