Uterine fibroids in a patient with vaginal aplasia
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.Kondratovich L.M., Arakelyan A.S., Adamyan L.V.
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.
Keywords
genital malformation
uterine aplasia
uterine fibroids
colpopoiesis
uterine rudiments
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Received 03.12.2019
Accepted 07.02.2020
About the Authors
Lyudmila M. Kondratovich, PhD, FSBI «National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov»Ministry of Healthcare of the Russian Federation. Tel.: +7(915)229-82-45. E-mail: klm80sm@mail.ru. https://orcid.org/0000-0003-4717-4019, eLibrary SPIN-code: 7879-4719.
4 Akademika Oparina str., Moscow, 117997, Russia, Department of operative gynecology and general surgery, gynecological department.
Alek S. Arakelyan, PhD, FSBI «National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov»
Ministry of Healthcare of the Russian Federation. Tel.: +7(916)376-78-98. E-mail: A_arakelyan@oparina4.ru.
4 Akademika Oparina str., Moscow, 117997, Russia, Department of operative gynecology and general surgery, gynecological department.
Leila V. Adamyan, Academician of the Russian Academy of Sciences, FSBI «National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov» Ministry of Healthcare of the Russian Federation. Tel.: +7(495)531-44-44. E-mail: Adamyanleila@gmail.com.
4 Akademika Oparina str., Moscow, 117997, Russia, Department of operative gynecology and general surgery, gynecological Department.
For reference: Kondratovich L.M., Arakelyan A.S., Adamyan L.V.. Uterine fibroids in a patient with vaginal aplasia.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2020; 6: 147-151 (in Russian).
https://dx.doi.org/10.18565/aig.2020.6.147-151
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