输卵管积水患者双侧输卵管远端节段缺失的罕见病例。

IF 2.5 Q2 OBSTETRICS & GYNECOLOGY Przeglad Menopauzalny Pub Date : 2023-09-01 Epub Date: 2023-09-20 DOI:10.5114/pm.2023.131308
Karolina Wiśniewska, Michał Wojciechowski
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引用次数: 0

摘要

孤立性输卵管异常是一组罕见的疾病,通常在其他无症状的患者中观察到。如果有症状,患者可能会出现不孕或不明原因的腹痛。人们提出了各种病因来解释这种现象,从先天性到血管性事件。诊断是非常具有挑战性的,因为在大多数情况下,这些异常不容易在超声波、计算机断层扫描甚至磁共振成像中看到。然而,最客观和确定的诊断可以通过腹腔镜检查获得,必要时进行相关的组织病理学检查。这类罕见疾病的治疗仍不清楚,因为病例数量相对较少,在治疗方面没有达成共识。我们报告了一例22岁女性,无相关临床病史,也无性活动,双侧输卵管积水是由于双侧远侧输卵管节段缺失,并伴有左卵巢窝和直肠子宫袋腹膜附近的子宫内膜异位植入物。据我们所知,文献中只描述了少数类似的案例。我们总结了这组病理学的现有描述,提出了解释这一现象的理论,并提供了这些疾病的各种分类。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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A rare case of bilateral distal segmental absence of fallopian tubes in a patient presenting with hydrosalpinx.

Isolated fallopian tube anomalies are a rare group of disorders, usually observed in otherwise asymptomatic patients. If symptomatic, the patients may present with infertility or unspecified abdominal pains. Various aetiologies have been proposed to explain this phenomenon, ranging from congenital to vascular events. Diagnosis is very challenging because in most cases those abnormalities are not easily seen on ultrasound, computed tomography, or even magnetic resonance imaging. The most objective and certain diagnosis, however, can be obtained through laparoscopy with an associated histopathological examination performed if necessary. Management of this rare group of disorders remains unclear - because the number of cases is relatively small, there is no consensus on treatment. We present a case of a 22-year-old woman with no relevant clinical history and no sexual activity with large bilateral hydrosalpinx that developed as a result of bilateral distal fallopian tube segmental absence with associated occlusion and concomitant endometriotic implants in the vicinity of the left ovarian fossa and the peritoneum of the rectouterine pouch. To our best knowledge, only a few similar cases have been described in the literature. We summarise the available descriptions of this group of pathologies, present theories that have been proposed to explain this phenomenon, and provide various classifications of those disorders.

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来源期刊
Przeglad Menopauzalny
Przeglad Menopauzalny OBSTETRICS & GYNECOLOGY-
CiteScore
3.40
自引率
11.10%
发文量
32
审稿时长
6-12 weeks
期刊介绍: Menopausal Review is a scientific bimonthly aimed at gynecologists and endocrinologists.
期刊最新文献
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