Three-Dimensional Technology to Diagnose Unilateral Cervical Atresia in Obstructive Hemivagina with Ipsilateral Renal Anomaly: A Case Report and Review of the Literature - 31/01/18
, Craig Barnes, MD 2, Kathy Van Leeuwen, MD 3, Amy Williamson, MD 1Abstract |
Background |
Congenital atresia of the cervix in the setting of an obstructed hemivagina with ipsilateral renal anomaly (OHVIRA) is an unusual occurrence that is frequently missed using preoperative imaging modalities.
Case |
A 14-year-old female adolescent presented to a tertiary care facility with abdominal pain associated with a mass. Initial imaging with ultrasound and magnetic resonance suggested OHVIRA but 3-D magnetic resonance imaging (MRI) also correctly identified unilateral cervical atresia on the obstructed left side.
Summary and Conclusion |
Three-dimensional MRI in the setting of OHVIRA was used successfully in this case to preoperatively identify cervical atresia and to guide preoperative surgical counseling and planning. The use of 3-D MRI for this purpose has, to our knowledge, never been described in the literature. Three-dimensional printed models derived from 3-D MRI can play an evolving role in the management of Müllerian anomalies as preoperative planning and surgical counseling tools.
Le texte complet de cet article est disponible en PDF.Key Words : OHVIRA, Cervical atresia, 3-D MRI, 3-D printing
Plan
| The authors indicate no conflicts of interest. |
Vol 31 - N° 1
P. 67-70 - février 2018 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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