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Tek Taraflı Renal Agenezi ve Tek Taraflı Hematometranın Eşlik Ettiği Bir Uterus Didelfus Olgusu

A Case of Uterus Didelphys with Unilateral Renal Agenesis and Unilateral Hematometra

Journal Name:

  • Selçuk Tıp Dergisi

Publication Year:

  • 2011

Key Words:

Keywords (Original Language):

Author NameUniversity of Author
Abstract (2. Language): 
A twelve years old virgin patient who was menstruating regularly for one year presented with severe pelvic pain associating with her menstruation. She was diagnosed to have right renal agenesis before 4 months. In her physical examination she had annular hymen and normal external genital organs. Vaginal depth was 6 cm. In her pelvic ultrasonography, the endometrial thickness was 8 mm on left side uterus and 8x10 cm hematometra appearance was seen on right side. Laparotomy was planned for the patient. During the operation double uterus and double endometrial cavities were seen with fusion line in the middle. Double cervices were palpated by hand. Hematometra was seen on right side. Bilateral ovaries were normal. Uterus was incised from the middle the separating fibrous tissue was removed, hematoma was evacuated and the two cavities united. The patient was discharged on the 2nd postoperative day without complications. After two weeks she presented with severe vaginal bleeding for which laparotomy was done. The metroplasty line was opened. A bleeding arterial end was noticed on left lateral isthmic wall and it was not related to the incision line. The vessel was sutured and the patient was discharged on the 4th postoperative day without complication.
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Abstract (Original Language): 
12 yaşında virgo hasta 1 yıldır düzenli adet görmekte olup: kliniğimize 1 yıldır adet dönemlerinde olan şiddetli pelvik ağrı sebebi ile başvurdu. Öz geçmişinde 4 ay önce tespit edilen sağ renal agenezisi mevcut idi. Aile hikâyesinde özellik yoktu. Pelvik muayenede hymen anuler ve eksternal genital organlar normal olarak izlendi. Vajen derinliği yaklaşık 6 cm ölçüldü. Pelvik ultrasonografisinde: sol tarafta endometrial kalınlığı 8 mm olan uterus, sağ tarafta 8x10 cm hematometra görüntüsü mevcuttu. Hastaya laparatomi planlandı. Operasyonda orta hatta füzyonu olan çift uterus ve çift endometrial kavite olduğu gözlendi, elle çift serviks palpe edildi. Sağ tarafta hematometra hali gözlendi. Bilateral overler doğal olarak görüldü. Uterusa orta hattan inzisyon yapıldı, aradaki fibröz doku çıkarıldı, hematom boşaltıldı. Her iki kavite birleştirildi. Hasta postoperatif 2. gününde komplikasyonsuz olarak taburcu edildi. Hastaya 2 hafta sonra şiddetli vajinal kanamasının olması nedeniyle tekrar laparatomi yapıldı. Metroplasti hattı yeniden açıldı. İnsizyon hattı ile ilişkili olmayan istmus sol yan duvardan kaynaklanan açılmış arter ucu gözlendi. Damar sütüre edildi. Hasta komplikasyonsuz olarak postoperatif 4. gününde taburcu edildi.
FULL TEXT (PDF): 
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  • 3
164-166
  • Turkish

REFERENCES

References: 

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