TY - JOUR
T1 - Cystic adnexal mass in a 16-year-old female
T2 - Ovarian pathology or complication of a Müllerian anomaly?
AU - Santacana-Laffitte, Guido
AU - Ruiz, Lorell
AU - Pedrogo, Yasmin
AU - Colon, Edgar
PY - 2013
Y1 - 2013
N2 - 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.
AB - 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.
KW - Hematometr
KW - Hematosalpynx
KW - Hydrometrocolpos
KW - Intestinal malrotation
KW - Mullerian
KW - Renal cysts
KW - Uterus didelphys
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U2 - 10.12659/AJCR.889050
DO - 10.12659/AJCR.889050
M3 - Article
C2 - 23826455
AN - SCOPUS:84878022365
SN - 1941-5923
VL - 14
SP - 153
EP - 156
JO - American Journal of Case Reports
JF - American Journal of Case Reports
ER -