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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Main Authors: Si-fan Yin, Jia-gui Chai, Run-lin Feng, Zhi-yuan Yin, Shen-zhao Zhao, Tao Zhang, Chang-xing Ke
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-07-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2023.1182355/full
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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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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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