Yw. Li et al., UNILATERAL OCCLUSION OF DUPLICATED UTERUS WITH IPSILATERAL RENAL ANOMALY IN YOUNG GIRLS - A STUDY WITH MRI, Pediatric radiology, 25, 1995, pp. 54-59
Citations number
22
Categorie Soggetti
Radiology,Nuclear Medicine & Medical Imaging",Pediatrics
Twenty-four young girls (mean age 13.0 years) with unilateral occlusio
n of a duplicated uterus and ipsilateral renal agenesis, dysplasia or
hypoplasia were studied with magnetic resonance imaging (MRI) followin
g ultrasound examination. Hydrocolpos (n=4), hydrometrocolpos (n=2), h
ematocolpos (n=11), hematometrocolpos (n=5), hematocolpometra, hematos
alpinx (n=3) and hematometra, hematosalpinx (n=1) were noted (two of t
hese patients had presented with hydrocolpos and hematocolpos before a
nd after the menarche). Twenty-two of these girls presented with ipsil
ateral renal agenesis (right 11, left 11) with ectopic ureters to Gart
ner's duct cysts (GDC) in two, in one renal hypoplasia and in one rena
l dysplasia with ectopic ureters to GDC. MRI offered specific images o
f the genital tract, showing the exact type of mullerian duct anomaly
and providing high diagnostic accuracy. Such preoperative identificati
on of a uterine anomaly, complemented with appropriate surgical interv
ention, can assist young girls in achieving normal fertility in the fu
ture.