Unilateral renal agenesis and uterine anomalies: how and when can we make this diagnosis?
DOI:
https://doi.org/10.25753/BirthGrowthMJ.v26.i3.10204Keywords:
Pediatrics, renal agenesis, uterine anomaliesAbstract
A 12-year-old female with a prenatal diagnosis of left kidney agenesis was hospitalized with a history of four months of recurrent abdominal pain and dysmenorrhea after menarche. Imaging investigation revealed a gynecological malformation associated with Müllerian developmental defects – duplicated uterus with an obstructed left hemi-uterus filled with hematic content (haematometra), one cervix and a normal vagina. We pretend to alert pediatric physicians about the association of renal agenesis and gynecological malformations, most frequently uterine, but also vaginal. Early detection of these malformations by imaging will anticipate therapeutic measures to relieve symptoms, mostly recurrent abdominal or pelvic pain, and to avoid complications such as endometriosis, pelvic adherences and infections.
Downloads
References
Tozcan T. Prenatal diagnosis of renal agenesis. UpToDate. acessed in April 2015.
Gassner I, Geley TE. Ultrasound of female genital anomalies. Eur Radiol. 2004; 14:L107-22.
Iverson RE, DeCherney AH, Laufer MR. Clinical manifestations and diagnosis of congenital anomalies of the uterus. UpToDate. acessed in April 2015.
The American Fertility Society Classification of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, Müllerian anomalies and intrauterine adhesions. Fertil Steril 1988; 49:944-5.
Behr SC, Courtier JL, Qayyum A. Imaging of Müllerian duct anomalies. Radio Graphics. 2012; 32: E233-50.
Junqueira BLP, Allen LM, Spitzer RF, Lucco KL, Babyn PS, Doria AS. Müllerian duct anomalies and mimics in children and adolescents: correlative intraoperative assessment with clinical imaging. Radio Graphics. 2009; 29:1085–103.
Barakat AJ. Association of unilateral renal agenesis and genital anomalies. Case Rep Clin Pract Rev. 2002; 3: 57-60.
Kiechl-Kohlendorfer U, Geley T, Maurer K, Gassner I. Uterus didelphys with unilateral vaginal atresia: multicystic dysplastic kidney is the precursor of “renal agenesis” and the key to early diagnosis of this genital anomaly. Pediatr Radiol. 2011; 41:1112–6.
Riccabona M, Lobo ML, Willi U, Avni F, Damasio B, Ording-Mueller, et al. ESPR uroradiology taskforce and ESUR paediatric work group -Imaging recommendations in paediatricuroradiology, part VI: childhood renal biopsy and imaging of neonatal and infant genital tract. Minutes from the task force session at the annual ESPR Meeting 2012 in Athens on childhood renal biopsy and imaging neonatal genitalia. Pediatr Radiol. 2014; 44:496-502.
Hollander MH, Verdonk PV, Trap K. Unilateral Renal Agenesis and Associated Müllerian Anomalies: A Case Report and Recommendations for Pre-adolescent Screening. J Pediatr Adolesc Gynecol. 2008, 21:151-3.
Fedele L, Motta F, Frontino G, Restelli E, Bianchi S. Double uterus with obstructed hemivagina and ipsilateral renal agenesis: pelvic anatomic variants in 87 cases. Human Reproduction. 2013; 28; 6:1580-3.
Downloads
Additional Files
Published
How to Cite
Issue
Section
License
Copyright and Authors' Rights
All articles published in Nascer e Crescer - Birth and Growth Medical Journal are Open Access and comply with the requirements of funding agencies or academic institutions. For use by third parties, Nascer e Crescer - Birth and Growth Medical Journal adheres to the terms of the Creative Commons License "Attribution - Non-Commercial Use (CC-BY-NC)".
It is the author's responsibility to obtain permission to reproduce figures, tables, etc. from other publications.
Authors must submit a Conflict of Interest statement and an Authorship Form with the submission of the article. An e-mail will be sent to the corresponding author confirming receipt of the manuscript.
Authors are permitted to make their articles available in repositories at their home institutions, provided that they always indicate where the articles were published and adhere to the terms of the Creative Commons license.