Case report: Rudimentary uterine horn with ovarian endometriosis manifested as pelvic ectopic kidney
BackgroundUnicornuate uterus is a congenital uterine malformation. Unicornuate uterus with rudimentary horn, ovarian endometriosis, and congenital renal agenesis are rare combinations that can be easily misdiagnosed due to the lack of typical clinical manifestations.Case summaryA 19-year-old woman w...
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Frontiers Media S.A.
2023-07-01
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author | Si-fan Yin Jia-gui Chai Run-lin Feng Zhi-yuan Yin Shen-zhao Zhao Tao Zhang Chang-xing Ke |
author_facet | Si-fan Yin Jia-gui Chai Run-lin Feng Zhi-yuan Yin Shen-zhao Zhao Tao Zhang Chang-xing Ke |
author_sort | Si-fan Yin |
collection | DOAJ |
description | BackgroundUnicornuate uterus is a congenital uterine malformation. Unicornuate uterus with rudimentary horn, ovarian endometriosis, and congenital renal agenesis are rare combinations that can be easily misdiagnosed due to the lack of typical clinical manifestations.Case summaryA 19-year-old woman with pelvic pain was admitted to the hospital after a month. Physical examination was unremarkable. B-ultrasound and CT scan both indicated pelvic ectopic kidney. In addition, renal scintigraphy revealed normal perfusion and function of the right kidney, but the perfusion and function of the left kidney were not visible. A left pelvic ectopic kidney was diagnosed by preoperative images. A laparoscopic left pelvic ectopic nephrectomy was performed after adequate surgical preparation. However, the postoperative pathological diagnosis revealed a rudimentary uterine horn with ovarian endometriosis and congenital renal agenesis. Fortunately, she got recovered and was discharged from the hospital after 5 days following the operation. Moreover, she received regular follow-ups at the gynecology clinic. To date, no right adnexal or uterine abnormalities have been detected on ultrasound during the follow-up visits.ConclusionRudimentary uterine horn with ovarian endometriosis and congenital renal agenesis are rare and are easily Misdiagnosed due to the lack of typical clinical manifestations. A gynecological examination is recommended for patients who may have this disease. |
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language | English |
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publishDate | 2023-07-01 |
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spelling | doaj.art-8c3579c0412f4b11ad8ce2913bd2d5192023-07-05T17:52:34ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-07-011010.3389/fmed.2023.11823551182355Case report: Rudimentary uterine horn with ovarian endometriosis manifested as pelvic ectopic kidneySi-fan Yin0Jia-gui Chai1Run-lin Feng2Zhi-yuan Yin3Shen-zhao Zhao4Tao Zhang5Chang-xing Ke6Department of Urology, The Second Affiliated Hospital of Kunming Medical University, Kunming, ChinaDepartment of Urology, The Second Affiliated Hospital of Kunming Medical University, Kunming, ChinaDepartment of Pathology, The Second Affiliated Hospital of Kunming Medical University, Kunming, ChinaDepartment of Urology, The Second Affiliated Hospital of Kunming Medical University, Kunming, ChinaDepartment of Urology, The Second Affiliated Hospital of Kunming Medical University, Kunming, ChinaDepartment of Urology, The Second Affiliated Hospital of Kunming Medical University, Kunming, ChinaDepartment of Urology, The Second Affiliated Hospital of Kunming Medical University, Kunming, ChinaBackgroundUnicornuate uterus is a congenital uterine malformation. Unicornuate uterus with rudimentary horn, ovarian endometriosis, and congenital renal agenesis are rare combinations that can be easily misdiagnosed due to the lack of typical clinical manifestations.Case summaryA 19-year-old woman with pelvic pain was admitted to the hospital after a month. Physical examination was unremarkable. B-ultrasound and CT scan both indicated pelvic ectopic kidney. In addition, renal scintigraphy revealed normal perfusion and function of the right kidney, but the perfusion and function of the left kidney were not visible. A left pelvic ectopic kidney was diagnosed by preoperative images. A laparoscopic left pelvic ectopic nephrectomy was performed after adequate surgical preparation. However, the postoperative pathological diagnosis revealed a rudimentary uterine horn with ovarian endometriosis and congenital renal agenesis. Fortunately, she got recovered and was discharged from the hospital after 5 days following the operation. Moreover, she received regular follow-ups at the gynecology clinic. To date, no right adnexal or uterine abnormalities have been detected on ultrasound during the follow-up visits.ConclusionRudimentary uterine horn with ovarian endometriosis and congenital renal agenesis are rare and are easily Misdiagnosed due to the lack of typical clinical manifestations. A gynecological examination is recommended for patients who may have this disease.https://www.frontiersin.org/articles/10.3389/fmed.2023.1182355/fullrudimentary uterine hornendometriosispelvic ectopic kidneydiagnosistreatment |
spellingShingle | Si-fan Yin Jia-gui Chai Run-lin Feng Zhi-yuan Yin Shen-zhao Zhao Tao Zhang Chang-xing Ke Case report: Rudimentary uterine horn with ovarian endometriosis manifested as pelvic ectopic kidney Frontiers in Medicine rudimentary uterine horn endometriosis pelvic ectopic kidney diagnosis treatment |
title | Case report: Rudimentary uterine horn with ovarian endometriosis manifested as pelvic ectopic kidney |
title_full | Case report: Rudimentary uterine horn with ovarian endometriosis manifested as pelvic ectopic kidney |
title_fullStr | Case report: Rudimentary uterine horn with ovarian endometriosis manifested as pelvic ectopic kidney |
title_full_unstemmed | Case report: Rudimentary uterine horn with ovarian endometriosis manifested as pelvic ectopic kidney |
title_short | Case report: Rudimentary uterine horn with ovarian endometriosis manifested as pelvic ectopic kidney |
title_sort | case report rudimentary uterine horn with ovarian endometriosis manifested as pelvic ectopic kidney |
topic | rudimentary uterine horn endometriosis pelvic ectopic kidney diagnosis treatment |
url | https://www.frontiersin.org/articles/10.3389/fmed.2023.1182355/full |
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