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Cystic adnexal mass in a 16-year-old female: Ovarian pathology or complication of a Müllerian anomaly?
Patient: Female, 16 Final Diagnosis: Pelvic mass Symptoms: None Medication: None Clinical Procedure: CT • MRI Specialty: Diagnostic radiology • pediatrics OBJECTIVE: Unusual presentation of unknown etiology, Rare disease, Mistake in diagnosis BACKGROUND: Müllerian anomalies encompass a wide variety...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Scientific Literature, Inc.
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3700479/ https://www.ncbi.nlm.nih.gov/pubmed/23826455 http://dx.doi.org/10.12659/AJCR.889050 |
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author | Santacana-Laffitte, Guido Ruiz, Lorell Pedrogo, Yasmin Colon, Edgar |
author_facet | Santacana-Laffitte, Guido Ruiz, Lorell Pedrogo, Yasmin Colon, Edgar |
author_sort | Santacana-Laffitte, Guido |
collection | PubMed |
description | Patient: Female, 16 Final Diagnosis: Pelvic mass Symptoms: None Medication: None Clinical Procedure: CT • MRI Specialty: Diagnostic radiology • pediatrics OBJECTIVE: Unusual presentation of unknown etiology, Rare disease, Mistake in diagnosis BACKGROUND: Müllerian anomalies encompass a wide variety of malformations in the female genital tract, usually associated with renal and anorectal malformations. Of these anomalies, approximately 11% are uterus didelphys, which occurs when midline fusion of the müllerian ducts is arrested to a variable extent. CASE REPORT: We report the case of a 16-year-old female with uterine didelphys, jejunal malrotation, hematometra, hematosalpinx, and bilateral subcentimeter homogenous circular cystic-like renal lesions, who initially presented with left lower quadrant abdominal pain, non-bloody vomiting, and a history of irregular menstrual periods. Initial CT was confusing for an adnexal cystic mass, but further imaging disclosed the above müllerian anomalies. CONCLUSIONS: Müllerian anomalies may mimic other, more common, adnexal lesions; thus, adequate evaluation of suspicious cystic adnexal masses with multiple and advanced imaging modalities such as MRI is essential for adequate diagnosis and management. |
format | Online Article Text |
id | pubmed-3700479 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-37004792013-07-03 Cystic adnexal mass in a 16-year-old female: Ovarian pathology or complication of a Müllerian anomaly? Santacana-Laffitte, Guido Ruiz, Lorell Pedrogo, Yasmin Colon, Edgar Am J Case Rep Articles Patient: Female, 16 Final Diagnosis: Pelvic mass Symptoms: None Medication: None Clinical Procedure: CT • MRI Specialty: Diagnostic radiology • pediatrics OBJECTIVE: Unusual presentation of unknown etiology, Rare disease, Mistake in diagnosis BACKGROUND: Müllerian anomalies encompass a wide variety of malformations in the female genital tract, usually associated with renal and anorectal malformations. Of these anomalies, approximately 11% are uterus didelphys, which occurs when midline fusion of the müllerian ducts is arrested to a variable extent. CASE REPORT: We report the case of a 16-year-old female with uterine didelphys, jejunal malrotation, hematometra, hematosalpinx, and bilateral subcentimeter homogenous circular cystic-like renal lesions, who initially presented with left lower quadrant abdominal pain, non-bloody vomiting, and a history of irregular menstrual periods. Initial CT was confusing for an adnexal cystic mass, but further imaging disclosed the above müllerian anomalies. CONCLUSIONS: Müllerian anomalies may mimic other, more common, adnexal lesions; thus, adequate evaluation of suspicious cystic adnexal masses with multiple and advanced imaging modalities such as MRI is essential for adequate diagnosis and management. International Scientific Literature, Inc. 2013-05-15 /pmc/articles/PMC3700479/ /pubmed/23826455 http://dx.doi.org/10.12659/AJCR.889050 Text en © Am J Case Rep, 2013 This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License |
spellingShingle | Articles Santacana-Laffitte, Guido Ruiz, Lorell Pedrogo, Yasmin Colon, Edgar Cystic adnexal mass in a 16-year-old female: Ovarian pathology or complication of a Müllerian anomaly? |
title | Cystic adnexal mass in a 16-year-old female: Ovarian pathology or complication of a Müllerian anomaly? |
title_full | Cystic adnexal mass in a 16-year-old female: Ovarian pathology or complication of a Müllerian anomaly? |
title_fullStr | Cystic adnexal mass in a 16-year-old female: Ovarian pathology or complication of a Müllerian anomaly? |
title_full_unstemmed | Cystic adnexal mass in a 16-year-old female: Ovarian pathology or complication of a Müllerian anomaly? |
title_short | Cystic adnexal mass in a 16-year-old female: Ovarian pathology or complication of a Müllerian anomaly? |
title_sort | cystic adnexal mass in a 16-year-old female: ovarian pathology or complication of a müllerian anomaly? |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3700479/ https://www.ncbi.nlm.nih.gov/pubmed/23826455 http://dx.doi.org/10.12659/AJCR.889050 |
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