P14.39: Use of magnetic resonance imaging as an auxiliary method in the diagnosis of fetal renal agenesis

Robert’s uterus is an asymmetric septate uterus with a noncommunicating cavity and is a rare Müllerian anomaly. We present a rare case of pregnancy in a blind cavity and the first report of ipsilateral renal agenesis. A 23-year-old primigravida woman presented to our hospital at 7 weeks and 3 days of gestation after an abortion had failed. Three-dimensional ultrasound and magnetic resonance imaging showed pregnancy in a blind hemi-cavity of Robert’s uterus with an ipsilateral renal anomaly. Surgery was performed by hysteroscopy with laparoscopic and ultrasound guidance. The pregnancy was removed and the asymmetric septum was resected. A single normal uterine cavity with bilateral tubal ostium remained. The treatment was considered to be satisfactory. Menstruation ceased to be painful and the uterus was not scarred. Robert’s uterus can be well evaluated by an experienced ultrasound physician and magnetic resonance imaging. Such patients may have renal agenesis and the urinary system must be simultaneously evaluated. Pregnancy in a blind hemi-cavity is extremely rare and easily ignored by gynecologists and sonographers. Timely and accurate diagnosis of this condition is essential to obtain minimally invasive treatment.

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Diagnosis of hematometrosalpinx and ipsilateral renal agenesis with magnetic resonance imaging

Adolescent and Pediatric Gynecology ◽

10.1016/s0932-8610(19)80038-5 ◽

1990 ◽

Vol 3 (4) ◽

pp. 207-209

Author(s):

Abbey B. Berenson ◽

Susan D. Stansberry

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Renal Agenesis ◽

Resonance Imaging

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Complementary role of magnetic resonance imaging after ultrasound examination in assessing fetal renal agenesis: a case report

Journal of Medical Case Reports ◽

10.1186/1752-1947-8-96 ◽

2014 ◽

Vol 8 (1) ◽

Cited By ~ 2

Author(s):

Tomasz Gęca ◽

Arkadiusz Krzyżanowski ◽

Aleksandra Stupak ◽

Anna Kwaśniewska ◽

Tomasz Pikuła ◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Case Report ◽

Magnetic Resonance ◽

Renal Agenesis ◽

Ultrasound Examination ◽

Resonance Imaging ◽

Complementary Role

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Use of Endorectal Surface Coil Magnetic Resonance Imaging for Diagnosis of a Multicystic Seminal Vesicle with Ipsilateral Renal Agenesis

Urologia Internationalis ◽

10.1159/000282892 ◽

1996 ◽

Vol 57 (2) ◽

pp. 115-118

Author(s):

Rainer Friedrichs ◽

Thomas Ebert ◽

Thomas J. Vogl ◽

Hartmut Lobeck ◽

Hans-Joachim Scholman

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Seminal Vesicle ◽

Renal Agenesis ◽

Surface Coil ◽

Resonance Imaging ◽

Endorectal Surface Coil

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Meningocerebral Angiodysplasia: Post-Mortem Magnetic Resonance Imaging and Autopsy

The Neuroradiology Journal ◽

10.1177/197140090902200412 ◽

2009 ◽

Vol 22 (4) ◽

pp. 435-438

Author(s):

M. Vaněčková ◽

Z. Seidl ◽

B. Goldova ◽

I. Vitkova ◽

A. Baxova ◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Case Report ◽

Magnetic Resonance ◽

Vascular Malformation ◽

Renal Agenesis ◽

Diagnostic Methods ◽

Post Mortem ◽

Prenatal Ultrasonography ◽

Resonance Imaging ◽

Cerebral Parenchyma

This case report describes a finding of vascular malformation of an aborted foetus of gestational age of the 22nd week. This concerns meningocerebral angiodysplasia, located in the posterior fossa and around the thalami. This disease is rare and is often accompanied by renal agenesis. The finding was complicated by hydrocephalus. Our report compares all three diagnostic methods (prenatal ultrasonography, post-mortem MR and autopsy). Prenatal ultrasonography described only hydrocephalus and reduction of cerebral parenchyma. MR displayed the extent of the malformation, the exact diagnosis was however determined by histological examination. MR described agenesis of structures of midbrain, which was confirmed by autopsy.

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A New Case of Herlyn–Werner–Wunderlich Syndrome: Uterine Didelphys with Unilateral Cervical Dysgenesis, Vaginal Agenesis, Cervical Distal Ureteral Remnant Fistula, Ureterocele, and Renal Agenesis in a Patient with Contralateral Multicystic Dysplastic Kidney

Diagnostics ◽

10.3390/diagnostics12010083 ◽

2021 ◽

Vol 12 (1) ◽

pp. 83

Author(s):

Jin-Hee Yu ◽

Sa-Ra Lee ◽

Heayeon Choi ◽

Kun-Suk Kim ◽

Byung-Moon Kang

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Reproductive Tract ◽

Renal Agenesis ◽

Female Reproductive Tract ◽

Multicystic Dysplastic Kidney ◽

Resonance Imaging ◽

Vaginal Agenesis ◽

Dysplastic Kidney ◽

Reduced Port

The aim of this study was to present a new case of congenital Herlyn–Werner–Wunderlich syndrome, a rare anomaly of the female reproductive tract, and review the related literature. A 12-year-old girl presented with severe dysmenorrhea since menarche and magnetic resonance imaging showing a bicornuate uterus, double cervix, right hematometra, and hematosalpinx with ipsilateral renal agenesis, accompanied by a remnant distal ureter with hydroureter. A diagnostic cystoscopy and a reduced-port robot-assisted laparoscopy with chromopertubation were performed in order to identify the anomaly. Uterine didelphys and right cervical dysgenesis with ipsilateral vaginal agenesis, cervical distal ureteral remnant fistula, ureterocele, and renal agenesis were diagnosed on the basis of histopathologic findings, and she subsequently underwent a robotic unilateral right total hysterectomy with salpingectomy. This case report reinforces the importance of the intraoperative biopsy for an accurate diagnosis, despite magnetic resonance imaging being considered the gold-standard diagnostic tool.

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