The aim of the present study was to investigate the ultrasound features and classify the lesion types of congenital vaginal oblique septum syndrome (CVOS) in 21 patients prior to surgery. Grey-scale pelvic ultrasound was performed to evaluate the uterus, vagina and kidneys in 21 patients with suspected CVOS. Ultrasound features, including the presence of a double uterus, hematocolpos masses and renal absence, in CVOS types I, II and III were studied and compared with intra-operative results and the results of surgery. Ultrasound identified the presence of double uteruses and cervices with ipsilateral renal agenesis on the oblique septum side in all 21 patients. There were 14 hematocolpos lesions on the right and 7 on the left of the vagina. Type I CVOS was diagnosed in 15 patients with a large hematocolpos mass (volume, 64-268 ml) and these diagnoses were confirmed by surgery. Furthermore, there were 4 patients with type II and 2 patients with type III CVOS exhibiting small hematocolpos lesions (volume, 5-36 ml) identified by ultrasound, which were all confirmed by surgery. Therefore, ultrasound imaging is useful tool to evaluate the abnormal features of CVOS and determine the type of CVOS in patients prior to surgical intervention.
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http://dx.doi.org/10.3892/etm.2018.6411 | DOI Listing |
BMC Med Imaging
December 2024
Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No.1095 Jiefang Avenue, Wuhan, Hubei Province, 430030, China.
Background: The longitudinal vaginal septum and oblique vaginal septum are female müllerian duct anomalies that are relatively less diagnosed but severely fertility-threatening in clinical practice. Ultrasound imaging is commonly used to examine the two vaginal malformations, but in fact it's difficult to make an accurate differential diagnosis. This study is intended to assess the performance of multiple deep learning models based on ultrasonographic images for distinguishing longitudinal vaginal septum and oblique vaginal septum.
View Article and Find Full Text PDFWorld J Clin Oncol
October 2024
Department of Radiology, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education; West China Second University Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
Background: Herlyn-Werner-Wunderlich (HWW) syndrome is a rare Müllerian duct anomaly, characterized by a combination of urogenital abnormalities. The occurrence of primary cervico-vaginal carcinomas in patients with HWW syndrome is exceptionally rare, posing significant challenges for screening, early diagnosis, and effective management.
Case Summary: We report a rare case of primary clear cell carcinoma of the vagina complicated in a 40-year-old woman with HWW syndrome.
Int J Surg Case Rep
November 2024
Department of Ultrasound, WeiFang People's Hospital, 151th, Weifang, China. Electronic address:
Introduction: This report details a case of Type I oblique vaginal septum syndrome (OVSS), highlighting its complexity as a congenital uterine malformation.
Case Presentation: A 12-year-old girl presented with severe lower abdominal pain coinciding with her first menstrual period. Ultrasound revealed a septate uterus and an oblique vaginal septum, prompting an emergency hysteroscopic procedure that confirmed the diagnosis of Type I OVSS.
J Cardiothorac Surg
July 2024
Department of Cardiovascular Surgery, Cheng Du Shang Jin Nan Fu Hospital, West China Hospital, Sichuan University, Sinchuan Province, 610041, Shandong, China.
Background: High-grade atrioventricular block is the primary reason for epicardial permanent pacemaker implantation during the perioperative period in patients with congenital heart disease. Due to the smaller diameter of venous vessels in children, epicardial permanent pacemaker implantation is usually a preferred choice, we report one pediatric patient who received epicardial permanent pacemaker implantation using a new approach.
Case Presentation: We present the case of a 2-year-old girl who underwent the modified Konno procedure and Pulmonary valvuloplasty surgery and presented after surgery with a High-grade atrioventricular block.
J Obstet Gynaecol Can
September 2024
Center for Reproductive Medicine, Department of Gynecology, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang, China. Electronic address:
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