Pub Date : 2023-03-15DOI: 10.18502/crcp.v7i6.12273
Norly Salleh, Rusli Zaim, Siti Rodiah Udin
Most people with toxoplasmosis infection are asymptomatic. Cerebral toxoplasmosis in HIV patient represents poor prognostic determinant, but treatable if early treatment is initiated. A case of delayed diagnosis of cerebral toxoplasmosis is presented. A 27-year-old man presented with one-sided facial numbness and treated as Bell’s Palsy. Later he developed slurred speech. Contrast enhanced CT brain showed left frontal temporal hypodense lesion, leptomeningeal enhancement and perilesional oedema. Steroid was started. Four days later, he presented with decreased responsiveness. Retroviral was detected and diagnosis changed to opportunistic brain infection. He died after 3 days. Toxoplasmosis IgG antibodies turned out positive. In diagnosing cerebral toxoplasmosis, clinical presentation and examination are as important as laboratory testing and radiological imaging.
{"title":"Cerebral Toxoplasmosis in a Previously Fit Individual – Pitfalls in Management – A Case Report.","authors":"Norly Salleh, Rusli Zaim, Siti Rodiah Udin","doi":"10.18502/crcp.v7i6.12273","DOIUrl":"https://doi.org/10.18502/crcp.v7i6.12273","url":null,"abstract":"Most people with toxoplasmosis infection are asymptomatic. Cerebral toxoplasmosis in HIV patient represents poor prognostic determinant, but treatable if early treatment is initiated. A case of delayed diagnosis of cerebral toxoplasmosis is presented. A 27-year-old man presented with one-sided facial numbness and treated as Bell’s Palsy. Later he developed slurred speech. Contrast enhanced CT brain showed left frontal temporal hypodense lesion, leptomeningeal enhancement and perilesional oedema. Steroid was started. Four days later, he presented with decreased responsiveness. Retroviral was detected and diagnosis changed to opportunistic brain infection. He died after 3 days. Toxoplasmosis IgG antibodies turned out positive. In diagnosing cerebral toxoplasmosis, clinical presentation and examination are as important as laboratory testing and radiological imaging.","PeriodicalId":34254,"journal":{"name":"Case Reports in Clinical Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44808250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-15DOI: 10.18502/crcp.v7i6.12274
Zahra Moaazeni, D. Soltani, M. Rezazadeh, Mohammad Reza Rouhbakhsh Zahmatkesh, Neda Davaryari
Pregnancy in a woman with Wilson disease (WD) can cause pre-eclampsia, miscarriage, and preterm labor and causes hepatic, neurologic, and hematologic complications aside from pregnancy-related difficulties. A 30-year-old female was brought to the emergency room (ER) in her 38th gestational week (GW) with the chief complaint of left foot swelling and weight gain. Aside from a platelet count of about 73000, the rest of the assessment and findings were normal. Regarding the reassurance of the platelet count and holding the medical treatment, throughout the vaginal delivery, a child with Apgar of 9-10 was delivered. WD in pregnancy tends to have complications, thus patient management and how the patient is treated are critical.
{"title":"Management and Outcomes of Wilson Disease in Pregnancy: A Case Report","authors":"Zahra Moaazeni, D. Soltani, M. Rezazadeh, Mohammad Reza Rouhbakhsh Zahmatkesh, Neda Davaryari","doi":"10.18502/crcp.v7i6.12274","DOIUrl":"https://doi.org/10.18502/crcp.v7i6.12274","url":null,"abstract":"Pregnancy in a woman with Wilson disease (WD) can cause pre-eclampsia, miscarriage, and preterm labor and causes hepatic, neurologic, and hematologic complications aside from pregnancy-related difficulties. A 30-year-old female was brought to the emergency room (ER) in her 38th gestational week (GW) with the chief complaint of left foot swelling and weight gain. Aside from a platelet count of about 73000, the rest of the assessment and findings were normal. Regarding the reassurance of the platelet count and holding the medical treatment, throughout the vaginal delivery, a child with Apgar of 9-10 was delivered. WD in pregnancy tends to have complications, thus patient management and how the patient is treated are critical.","PeriodicalId":34254,"journal":{"name":"Case Reports in Clinical Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48406623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-15DOI: 10.18502/crcp.v7i6.12267
N. Eftekhari, Amir Hossein Mohammad Bagheri
Brucellosis is a zoonotic infectious disease which any organ can be involved. Soft tissue lesions are rare manifestations of brucellosis. Brucella breast abscess in animal is not uncommon; involvement of the breast in human brucella is extremely rare. Breast abscess involvement was reported to 0.7% of the patient with brucellosis. We report the microbiological findings of breast abscess due to brucella. A 38-year-old woman living in the rural area of Kerman, Iran, presented with an abscess in the right breast. The sampling of the abscess aspiration and preparation of smears showed inflammatory fluid. Culture and PCR performed from the sample identified the presence of Brucella melitensis. The lesion had diminished in size after 8 weeks of treatment with combined doxycycline and rifampin. The possibility of breast abscess being caused by Brucella should be considered in countries, especially in endemic regions. Besides, isolated Brucella spp from microbiological cultures is important for a definitive diagnosis.
{"title":"Unusual Abscess Caused by Brucella Melitensis","authors":"N. Eftekhari, Amir Hossein Mohammad Bagheri","doi":"10.18502/crcp.v7i6.12267","DOIUrl":"https://doi.org/10.18502/crcp.v7i6.12267","url":null,"abstract":"Brucellosis is a zoonotic infectious disease which any organ can be involved. Soft tissue lesions are rare manifestations of brucellosis. Brucella breast abscess in animal is not uncommon; involvement of the breast in human brucella is extremely rare. Breast abscess involvement was reported to 0.7% of the patient with brucellosis. We report the microbiological findings of breast abscess due to brucella. A 38-year-old woman living in the rural area of Kerman, Iran, presented with an abscess in the right breast. The sampling of the abscess aspiration and preparation of smears showed inflammatory fluid. Culture and PCR performed from the sample identified the presence of Brucella melitensis. The lesion had diminished in size after 8 weeks of treatment with combined doxycycline and rifampin. The possibility of breast abscess being caused by Brucella should be considered in countries, especially in endemic regions. Besides, isolated Brucella spp from microbiological cultures is important for a definitive diagnosis.","PeriodicalId":34254,"journal":{"name":"Case Reports in Clinical Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48265781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-06DOI: 10.18502/crcp.v7i5.11866
Kiana Amani, S. Ghafouri, B. Pourghaz, A. Tafakhori
The present case report describes a patient who had presented with resistant trigeminal neuralgia and was later discovered to suffer from idiopathic increased intracranial pressure. The related symptoms were resolved by decreasing the intracranial pressure. As in our case, symptom relief can predict a good prognosis in these cases, resulting in an improved quality of life. Although it is not frequently reported, this potential association can be significant as resolving intracranial hypertension can easily improve the symptoms in those suffering from this condition. To our knowledge, no relationship between increased intracranial pressure and trigeminal neuralgia had yet been reported in the literature.
{"title":"Trigeminal Neuralgia as a Manifestation of Increased Intracranial Pressure: A Case Report","authors":"Kiana Amani, S. Ghafouri, B. Pourghaz, A. Tafakhori","doi":"10.18502/crcp.v7i5.11866","DOIUrl":"https://doi.org/10.18502/crcp.v7i5.11866","url":null,"abstract":"The present case report describes a patient who had presented with resistant trigeminal neuralgia and was later discovered to suffer from idiopathic increased intracranial pressure. The related symptoms were resolved by decreasing the intracranial pressure. As in our case, symptom relief can predict a good prognosis in these cases, resulting in an improved quality of life. Although it is not frequently reported, this potential association can be significant as resolving intracranial hypertension can easily improve the symptoms in those suffering from this condition. To our knowledge, no relationship between increased intracranial pressure and trigeminal neuralgia had yet been reported in the literature.","PeriodicalId":34254,"journal":{"name":"Case Reports in Clinical Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48565770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-06DOI: 10.18502/crcp.v7i5.11861
Tan Ching Yee, Yee Szemen, Alvin Wang Dingyuan, Foo Rui Min
With current SARS-CoV-2 pandemic, patients with respiratory symptoms are diagnosed with SARS-CoV-2 more readily, but we may oversee some prevalent infective diseases that may co-exist. We report a case of SARS-CoV-2/tuberculosis co-infection and the importance of considering tuberculosis amidst SARS-CoV-2 pandemic.
{"title":"When Tuberculosis Co-Presenting with COVID-19 Becomes a Challenge, Case Report and Short Review","authors":"Tan Ching Yee, Yee Szemen, Alvin Wang Dingyuan, Foo Rui Min","doi":"10.18502/crcp.v7i5.11861","DOIUrl":"https://doi.org/10.18502/crcp.v7i5.11861","url":null,"abstract":"With current SARS-CoV-2 pandemic, patients with respiratory symptoms are diagnosed with SARS-CoV-2 more readily, but we may oversee some prevalent infective diseases that may co-exist. We report a case of SARS-CoV-2/tuberculosis co-infection and the importance of considering tuberculosis amidst SARS-CoV-2 pandemic.","PeriodicalId":34254,"journal":{"name":"Case Reports in Clinical Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42826686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-06DOI: 10.18502/crcp.v7i5.11859
Priscilla Duran Luciano
Non-neoformans Cryptococcus species were formerly considered to be saprophytes and nonpathogenic to humans [1-2]. However, the incidence of Cryptococcus laurentii infections in immunocompromised and immunocompetent patients has been gradually increasing over the last decades [1-2]. During the COVID-19 pandemic, multiple cases of opportunistic bacterial and fungal infections have been reported in patients after a severe SARS-CoV-2 infection. The author reports the first case of opportunistic pulmonary cryptococcosis caused by Cryptococcus laurentii in a severely ill COVID-19 patient who received treatment with Tocilizumab and dexamethasone. This case contributes to the expanding knowledge of emergent secondary infectious complications including opportunistic pathogens after a SARS-COV-2 infection.
{"title":"Non-Neoformans Pulmonary Cryptococcosis Due to Cryptococcus Laurentii in a Positive SARS-COV-2 Patient","authors":"Priscilla Duran Luciano","doi":"10.18502/crcp.v7i5.11859","DOIUrl":"https://doi.org/10.18502/crcp.v7i5.11859","url":null,"abstract":"Non-neoformans Cryptococcus species were formerly considered to be saprophytes and nonpathogenic to humans [1-2]. However, the incidence of Cryptococcus laurentii infections in immunocompromised and immunocompetent patients has been gradually increasing over the last decades [1-2]. During the COVID-19 pandemic, multiple cases of opportunistic bacterial and fungal infections have been reported in patients after a severe SARS-CoV-2 infection. The author reports the first case of opportunistic pulmonary cryptococcosis caused by Cryptococcus laurentii in a severely ill COVID-19 patient who received treatment with Tocilizumab and dexamethasone. This case contributes to the expanding knowledge of emergent secondary infectious complications including opportunistic pathogens after a SARS-COV-2 infection.","PeriodicalId":34254,"journal":{"name":"Case Reports in Clinical Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45025525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-06DOI: 10.18502/crcp.v7i5.11873
S. Samadi, M. Salehi, Hamidreza Emadi, Z. Saffarian, M. Eslami
Subacute thyroiditis is an uncommon thyroid disease which usually occurs after a viral infection. During COVID-19 pandemics, several subacute thyroiditis cases were identified during or after COVID-19. Due to their similar manifestations and high prevalence of COVID-19, subacute thyroiditis might be neglected if the clinicians do not keep it in mind. In this care report, we present a missing patient with SARS-COV-2 infection and subacute thyroiditis which was not suspected until the latent phase of the disease. The patient report can be a re-emphasis on the importance of clinical examination and especially paying attention to palpation of the thyroid gland.
{"title":"A case Report of Simultaneous Subacute Thyroiditis and COVID-19 Infection. A Rare Presentation or Mere Coincidence?","authors":"S. Samadi, M. Salehi, Hamidreza Emadi, Z. Saffarian, M. Eslami","doi":"10.18502/crcp.v7i5.11873","DOIUrl":"https://doi.org/10.18502/crcp.v7i5.11873","url":null,"abstract":"Subacute thyroiditis is an uncommon thyroid disease which usually occurs after a viral infection. During COVID-19 pandemics, several subacute thyroiditis cases were identified during or after COVID-19. Due to their similar manifestations and high prevalence of COVID-19, subacute thyroiditis might be neglected if the clinicians do not keep it in mind. In this care report, we present a missing patient with SARS-COV-2 infection and subacute thyroiditis which was not suspected until the latent phase of the disease. The patient report can be a re-emphasis on the importance of clinical examination and especially paying attention to palpation of the thyroid gland.","PeriodicalId":34254,"journal":{"name":"Case Reports in Clinical Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44777852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-06DOI: 10.18502/crcp.v7i5.11865
H. Asadzadeh Aghdaei, A. Sadeghi, G. Nouri, N. Salarieh, Pardis Ketabi Moghadam
Esophageal-pleural (E-P) fistula is introduced to be an uncommon clinical finding maybe due to non-specific clinical pointers and vague radiologic clues. In this regard, the main drivers are esophageal traumatization, endoscopic dilation, irradiation and corrosive agent ingestion as well as major underlying esophageal diseases like carcinomas and tuberculosis. The presented case is a 51-year-old man with medical record of recurrent pneumonias resulted in right lobectomy who admitted to the medical institution with a significant empyema leading to chest tube insertion. It should be noted that the presence of food particles in the chest bottle in addition to the history of previous surgery raised suspicion of a post-surgical E-P fistula formation. Attempts were made to find fistula tract and insert an esophageal stent bypassing the fistula opening. However, investigations argued against E-P fistula as an ensuing event after surgery and arose the question that whether E-P fistula would be the cause or effect of pneumonia in the presented case?
{"title":"Esophageal-Pleural Fistula: the Cause or Effect of Recurrent Pneumonia?","authors":"H. Asadzadeh Aghdaei, A. Sadeghi, G. Nouri, N. Salarieh, Pardis Ketabi Moghadam","doi":"10.18502/crcp.v7i5.11865","DOIUrl":"https://doi.org/10.18502/crcp.v7i5.11865","url":null,"abstract":"Esophageal-pleural (E-P) fistula is introduced to be an uncommon clinical finding maybe due to non-specific clinical pointers and vague radiologic clues. In this regard, the main drivers are esophageal traumatization, endoscopic dilation, irradiation and corrosive agent ingestion as well as major underlying esophageal diseases like carcinomas and tuberculosis. The presented case is a 51-year-old man with medical record of recurrent pneumonias resulted in right lobectomy who admitted to the medical institution with a significant empyema leading to chest tube insertion. It should be noted that the presence of food particles in the chest bottle in addition to the history of previous surgery raised suspicion of a post-surgical E-P fistula formation. Attempts were made to find fistula tract and insert an esophageal stent bypassing the fistula opening. However, investigations argued against E-P fistula as an ensuing event after surgery and arose the question that whether E-P fistula would be the cause or effect of pneumonia in the presented case?","PeriodicalId":34254,"journal":{"name":"Case Reports in Clinical Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48566511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-06DOI: 10.18502/crcp.v7i5.11862
Meisam Babaei, Susan Hosseini, M. Tavakoli, M. Banaei, M. Bagheri
In the fifth’s SARS-CoV-2 infection peak, although extended vaccination, still there is some reports of neurologic complications of covid-19 in children like adult. Though often we expose to benign neurologic features but sometimes there is unusual clinicoradiologic presentation. Thus, report of uncommon neurologic manifestations can help us to better understand of main pathophysiology in pediatric brain involvement. In this report, we present a five-year- old previously healthy girl that arrive to our hospital with fever, vomiting and loss of consciousness, on lumbar puncture there was mild protein elevation without poleocytosis and nasopharyngeal swap PCR for COVID-19 was positive. Brain imaging 10 hours after admission, revealed findings suggestive of acute necrotizing encephalopa thy (ANE). In spite of extensive brain involvement, after prompt initiation of high dose methylprednisolone and IV immunoglobulin, there was dramatic improvement after 3 months’ follow-up. To our knowledge, this is the first Iranian report and the second report on the world.
{"title":"Acute Necrotizing Encephalopathy Following Presumed COVID-19 Infection: The First Iranian Report in Children","authors":"Meisam Babaei, Susan Hosseini, M. Tavakoli, M. Banaei, M. Bagheri","doi":"10.18502/crcp.v7i5.11862","DOIUrl":"https://doi.org/10.18502/crcp.v7i5.11862","url":null,"abstract":"In the fifth’s SARS-CoV-2 infection peak, although extended vaccination, still there is some reports of neurologic complications of covid-19 in children like adult. Though often we expose to benign neurologic features but sometimes there is unusual clinicoradiologic presentation. Thus, report of uncommon neurologic manifestations can help us to better understand of main pathophysiology in pediatric brain involvement. In this report, we present a five-year- old previously healthy girl that arrive to our hospital with fever, vomiting and loss of consciousness, on lumbar puncture there was mild protein elevation without poleocytosis and nasopharyngeal swap PCR for COVID-19 was positive. Brain imaging 10 hours after admission, revealed findings suggestive of acute necrotizing encephalopa thy (ANE). In spite of extensive brain involvement, after prompt initiation of high dose methylprednisolone and IV immunoglobulin, there was dramatic improvement after 3 months’ follow-up. To our knowledge, this is the first Iranian report and the second report on the world.","PeriodicalId":34254,"journal":{"name":"Case Reports in Clinical Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48618414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-06DOI: 10.18502/crcp.v7i5.11864
F. Mallah, F. Rajabzadeh, Malahat Ebrahimpour
Congenital absence of the vagina with variable uterine development known as Mullerian agenesis. We presented the case of a patient with distal vagina agenesis with presence of proximal vagina and functioning unicornoate uterus. A 13-year-old patient was referred to pelvic floor service due to primary amenorrhea and pelvic pain. She was diagnosed with the distal vaginal agenesis, functional unicornoate uterus and the ectopic right kidney. Rectoabdominal examination revealed segmental vaginal agenesis and a likely atretic cervix with a huge abdominopelvic mass of about 10 cm in size. On exploratory laparotomy, the bladder was completely dilated and the right kidney was ectopic and both kidneys had moderate hydronephrosis. On the left, a unicorn uterus containing blood and clot, and on the right, a non-functional rudimentary horn with a normal fallopian tube was seen. A neovagina was created by dissection of the space between the urethra hyatus and rectum in laparatomy. It is important to note that the patient may initially present with urinary symptoms and renal signs. Therefore, in the symptoms of urinary tract obstruction, mullerian anomalies should be considered.
{"title":"Distal Vaginal Atresia Combined with Unicornoate Uterus: A Case Report","authors":"F. Mallah, F. Rajabzadeh, Malahat Ebrahimpour","doi":"10.18502/crcp.v7i5.11864","DOIUrl":"https://doi.org/10.18502/crcp.v7i5.11864","url":null,"abstract":"Congenital absence of the vagina with variable uterine development known as Mullerian agenesis. We presented the case of a patient with distal vagina agenesis with presence of proximal vagina and functioning unicornoate uterus. A 13-year-old patient was referred to pelvic floor service due to primary amenorrhea and pelvic pain. She was diagnosed with the distal vaginal agenesis, functional unicornoate uterus and the ectopic right kidney. Rectoabdominal examination revealed segmental vaginal agenesis and a likely atretic cervix with a huge abdominopelvic mass of about 10 cm in size. On exploratory laparotomy, the bladder was completely dilated and the right kidney was ectopic and both kidneys had moderate hydronephrosis. On the left, a unicorn uterus containing blood and clot, and on the right, a non-functional rudimentary horn with a normal fallopian tube was seen. A neovagina was created by dissection of the space between the urethra hyatus and rectum in laparatomy. It is important to note that the patient may initially present with urinary symptoms and renal signs. Therefore, in the symptoms of urinary tract obstruction, mullerian anomalies should be considered.","PeriodicalId":34254,"journal":{"name":"Case Reports in Clinical Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43660950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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