Uterine fibroids in a patient with vaginal aplasia
- Authors: Kondratovich L.M.1, Arakelyan A.S.1, Adamyan L.V.1
-
Affiliations:
- Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia
- Issue: No 6 (2020)
- Pages: 147-151
- Section: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/248929
- DOI: https://doi.org/10.18565/aig.2020.6.147-151
- ID: 248929
Cite item
Open Access
Access granted
Abstract
Background. Currently, there is not enough evidence to choose surgical tactics for patients with genital malformations. The absence of a normally developed uterus or the presence of rudimentary uterine horns and a rudimentary cord does not rule out the development of the most common benign tumor of the female reproductive system, namely uterine fibroids. Case report. This paper describes a clinical case of a patient with uterine and vaginal aplasia concurrent with fibroids. It presents examination results, a differential diagnosis process, intraoperative photos and morphological data on distant masses. Conclusion. Using this clinical case as an example, it can be stated that the volume of surgical intervention, namely, removal of uterine rudimentary horns, would be expanded in patients with aplasia of the uterus and vagina during the first colpopoiesis.
Full Text
About the authors
Lyudmila M. Kondratovich
Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia
Email: klm80sm@mail.ru
Alek S. Arakelyan
Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia
Email: A_arakelyan@oparina4.ru
Leila V. Adamyan
Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia
Email: Adamyanleila@gmail.com
References
- Адамян Л.В., Окулов А.Б., Глыбина Т.М., Макиян З.Н., Курило Л.Ф. Аномалии развития органов женской репродуктивной системы: новый взгляд на морфогенез. Проблемы репродукции. 2009; 4: 10-9. [Adamyan L.V., Okulov А.В., Glybina Т.М., Makiyan Z.N., Kurilo L.F. Developmental abnormalities of the female reproductive system: a new look at morphogenesis. Problemy Reproduktsii (Problems of Reproduction). 2009; 4: 10-9. (in Russian)].
- Кнорре А.Г. Эмбриональный гистогенез. (Морфологические очерки). Л.: Медицина; 1971. 429 с. [Knorre A.G. Embryonic histogenesis. (Morphological essays). Leningrad: Meditsina 1971; 429 p. (in Russian)].
- Baird D.D., Dunson D.B., Hill M.C., Cousins D., Schectman J.M. High cumulative incidence of uterine leiomyoma in black and white women: ultrasound evidence. Am. J. Obstet. Gynecol. 2003; 188(1): 100-7. https://dx.doi.org/10.1067/ mob.2003.99.
- Курбанова А.Г., Кравкова Е.В. Одноэтапный метод кольпопоэза из тазовой брюшины. Акушерство и гинекология. 1972; 2: 24-8. [Kurbanova A.G., Kravkova E.V. The one-stage method ofcolpopoiesis from the pelvic peritoneum // Akusherstvo i Ginekologiya (Obstetrics and Gynecology). 1972; 2: 24-8. (in Russian)].
- Макиян З.Н., Адамян Л.В., Быченко В.Г., Мирошникова Н.А., Козлова А.В. Функциональная магнитно-резонансная томография для определения кровотока при симметричных аномалиях матки. Акушерство и гинекология. 2016; 10: 73-9. [Makiyan Z.N., Adamyan L.V., Bychenko V.G., Miroshnikova N.A., Kozlova A.V. Functional magnetic resonance imaging for determining blood flow with symmetric uterine abnormalities. Akusherstvo i Ginekologiya (Obstetrics and Gynecology). 2016; 10: 73-9) (in Russian)]. https://dx.doi.org/10.18565/aig.2016. 10.73-9.
- Adamyan L.V., Kulakov V I., Murvatov K.D., Z Zurabiani Z. Application of endoscopy in surgery for malformations of genitalia. J. Am. Assoc. Gynecol. Laparosc. 1994; 1(4, Part 2): S1. https://dx.doi.org/10.1016/s1074-3804(05)80868-0.
- Davydov S.N. Colpopoesis from the peritoneum of the uterorectal space. Akush, Ginecol, (Mosk,), 1969; 45: 55.
- Michala L., Cutner A., Creighton S. Surgical approaches to treating vaginal agenesis. BJOG. 2007; 114(12): 1455-9. https://dx.doi.org/10.1111/j.1471-0528.2007.01547.x.
- Nakhal R.S., Creigton S.M. Management of vaginal agenesis. J. Pediatr. Adolesc. Gynecol. 2012; 25(6): 352-7. https://dx.doi.org/10.1016/ j.jpag.2011.06.003.
Supplementary files
