Τίτλος:
Surgical management of complex atypical endometrial hyperplasia in a woman with rare genitourinary anomalies: Unicornuate uterus with rudimentary horn, ipsilateral ectopic ovary and pelvic kidney I
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
aim. According to the so far published literature, only one case of endometrial cancer in a patient with unicornuate uterus has been re-ported. This is a case report study, presenting a rare case of complex atypical endometrial hyperplasia in a woman with unicornuate uterus and multiple genitourinary anomalies. Case report. A 43-year old G1P1 woman presented with epi-sodes of menometrorrhagia and anemia. She had previous surgical history of laparoscopy due to infertility, in which she was diagnosed o with unicornuate uterus with a rudimentary left uterine horn and ipsilateral ectopic ovary in the anatomic place of the left kidney. Di-latation and curettage was performed. Histology showed complex atypical endometrial hyperplasia. The patient underwent total ab-dominal hysterectomy with bilateral salpingo-oophorectomy, in an extremely interesting operation due to the multiple genitourinary anomalies. The uterus with a 6-centimeter uterine myoma and the adnexae were removed en block. Great effort was put into dissecting the left fallopian tube which arised from the cervix and via the rudimentary horn led to the left ectopic ovary that was located at the left kidneys’ anatomic space. The patient recovered well and final histology was negative for malignancy. discussion. All necessary imaging examinations have to be scheduled prior to surgical intervention in order to give valuable anatomic information in cases of women diagnosed with Mulle-rian abnormalities. ni Intern. © 2018, CIC Edizioni Internazionali, Roma.
Συγγραφείς:
Grigoriadis, C.
Tympa, A.
Terzakis, E.
Theodoraki, K.
Hassiakos, D.
Περιοδικό:
Giornale di Chirurgia
Εκδότης:
CIC Edizioni Internazionali s.r.l.
Λέξεις-κλειδιά:
adult; case report; choristoma; complication; embryology; endometrium; Fallopian tube; female; female infertility; human; hyperplasia; hysterectomy; in vitro fertilization; kidney; menorrhagia; metrorrhagia; Muellerian duct; multiple malformation syndrome; myoma; ovary; pathology; pelvis; procedures; salpingooophorectomy; uterine cervix; uterus; uterus cancer, Abnormalities, Multiple; Adult; Cervix Uteri; Choristoma; Endometrium; Fallopian Tubes; Female; Fertilization in Vitro; Humans; Hyperplasia; Hysterectomy; Infertility, Female; Kidney; Menorrhagia; Metrorrhagia; Mullerian Ducts; Myoma; Ovary; Pelvis; Salpingo-oophorectomy; Uterine Neoplasms; Uterus
DOI:
10.11138/GCHIR/2018.39.4.245
