Abdominal swelling and obstructive uropathy due to hematometrocolpos secondary to imperforate hymen: a case report

Introduction: Esophageal cancer is the fifth most common cancer in Asia. Synchronous malignancies with an esophageal malignancies is not uncommon however synchronous esophageal malignancy and renal cell carcinoma is rare. Case Report: A 70 years old non smoker man with comorbid of hypertension and diabetes mellitus presented with multiple episode of hemoptysis and pleuritic chest pain within one day duration. He also complaint of worsening dysphagia to solid food for 1 month duration with constitutional symptoms. Otherwise he does not have any other symptoms. Clinically he was pale and cachexic, otherwise all systemic examination was unremarkable. His blood investigation reveal low hemoglobin level of 9.9g/L with normal coagulation and renal profile. He underwent Oesophagoduodenoscopy which showed a tumor narrowing the lumen of the lower esophagus. Biopsy of the tumor revealed esophageal adenocarcinoma. CT thorax, abdomen and pelvis showed smooth circumferential wall thickening of the distal part of the esophagus near the gastroesophageal junction. Incidentally, there were heterogenous enhancing lobulated mass seen at the lower pole of left kidney with no obstructive uropathy features. Otherwise, others solid organ were normal. A left renal mass biopsy performed revealed renal cell carcinoma. An oncologist opinion was gathered for initiation of palliative chemotherapy however he developed symptomatic malignant pleural effusion which need a drainage. HRCT Thorax revealed multiple bilateral intrapulmonary nodule. He also complaint of a new right upper eyelid mass that increasing in size with contact bleeding however does not affect his visual. An assessment from an ophthalmologist and CT orbital performed consistent with features of a metastasis. Conclusion: Synchronous malignancies with an esophageal malignancies is not uncommon. Most common site reported is head and neck followed by lung malignancies. However synchronous esophageal malignancies and renal cell carcinoma is rare. Esophageal malignancies often have distant metastasis to the liver, lung and bone however rare to the eyelid.

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Retenção Urinária Como Manifestação de Hematocolpos

Acta Médica Portuguesa ◽

10.20344/amp.11912 ◽

2020 ◽

Vol 33 (13) ◽

Author(s):

Íris Santos Silva ◽

Renata Martello ◽

António Mendes ◽

Albertino Chaves

Keyword(s):

Emergency Department ◽

Abdominal Pain ◽

Case Report ◽

Urinary Retention ◽

Genital Tract ◽

Rare Condition ◽

Tanner Stage ◽

Imperforate Hymen ◽

Uncommon Condition ◽

Rare Symptom

Hematocolpos is an obstruction of the menstrual flow due to an anomaly of the genital tract, with imperforate hymen being the most common one. It is an uncommon condition, with a prevalence of 1:1000 – 1:16 000. It is usually an asymptomatic condition until the onset of menarche, when there is accumulation of blood in the vagina (hematocolpos) or in the uterus (hematometra). A rare symptom of hematocolpos could be urinary retention. Our case report is about a 12-year-old girl, with no menarche and Tanner stage M4/P5, who was admitted to our emergency department with abdominal pain and urinary retention. A brief review of this rare condition is presented, in order to remind clinicians about its existence, so that it can be diagnosed and treated as quickly as possible.

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Obstructive uropathy associated with primary ureteral endometrioma: case report and review of the literature

Canadian Urological Association Journal ◽

10.5489/cuaj.1098 ◽

2013 ◽

Vol 3 (3) ◽

pp. 10

Author(s):

Andrew Feifer ◽

Mona Alam El-Din ◽

Atilla Omeroglu ◽

Maurice Anidjar

Keyword(s):

Renal Function ◽

Case Report ◽

Postmenopausal Woman ◽

Obstructive Uropathy ◽

Flank Pain ◽

Review Of The Literature ◽

Gastrointestinal Complaint ◽

Distal Ureter ◽

Contralateral Kidney ◽

Contrast Enhanced

We report the case of a 56-year-old postmenopausal woman whopresented with incidental left hydronephrosis during an investigationfor a gastrointestinal complaint. The patient denied any historyof flank pain or hematuria. Contrast-enhanced computedtomography revealed severe right-sided ureterohydronephrosis aswell as renal atrophy. The contralateral kidney was normal, as wasthe patient’s overall renal function. A retrograde ureterogramdemonstrated complete ureteral obstruction 4 cm proximal to theureterovesical junction. Subsequent ureteroscopy revealed a polypoidmass completely occupying the ureteral lumen, of which thebiopsies demonstrated inconclusive atypical urothelial changes.The patient underwent a laparoscopic nephrectomy with opendissection of the distal ureter. The patient recovered well postoperatively.Final pathology revealed a benign obstructingendometrioma without evidence of invasion from periureteraltissue. This appears to be the first reported case of asymptomaticprimary ureteral endometrioma with secondary renal atrophy.Earlier investigation and treatment may have allowed for renalpreservation earlier in the course of the disease.Nous décrivons le cas d’une femme ménopausée de 56 ans présentantune hydronéphrose gauche découverte de façon fortuite aucours d’un examen mené pour donner suite à des symptômes gastro-intestinaux. La patiente n’avait pas d’antécédents de douleurau flanc ou d’hématurie. Une TDM avec agent de contraste arévélé une urétéro-hydronéphrose droite importante accompagnéed’une atrophie rénale. Le rein controlatéral et la fonction rénaleglobale de la patiente ne présentaient aucune anomalie. Uneurétérographie par voie rétrograde a permis d’observer une obstructioncomplète de l’uretère proximale à 4 cm de la jonction urétérovésicale.Une urétéroscopie subséquente a révélé une masse polypoïdeoccupant la totalité de la lumière urétérale et des analysesaprès biopsie ont montré des changements atypiques non concluantsau niveau de l’épithélium urinaire. La patiente a subi unenéphrectomie par laparoscopie avec dissection ouverte de l’uretèredistale. La patiente s’est bien rétablie après l’intervention. Lerapport final de pathologie a révélé un endométriome obstructifbénin sans signe d’invasion des tissus péri-urétéraux. Il sembleque ce soit ici le premier cas signalé d’endométriome urétéralprimitif asymptomatique avec atrophie rénale secondaire. Un examenet un traitement réalisés plus tôt dans le cours de l’évolutionde la maladie auraient pu permettre la préservation du rein.

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Acute Necrotizing Ureteritis with Obstructive Uropathy Following Instillation of Silver Nitrate in Chyluria: A Case Report

The Kaohsiung Journal of Medical Sciences ◽

10.1016/s1607-551x(09)70251-7 ◽

2004 ◽

Vol 20 (10) ◽

pp. 512-515 ◽

Cited By ~ 12

Author(s):

Chin-Ming Su ◽

Yung-Chin Lee ◽

Wen-Jen Wu ◽

Hung-Lung Ke ◽

Yii-Her Chou ◽

...

Keyword(s):

Case Report ◽

Silver Nitrate ◽

Obstructive Uropathy ◽

Acute Necrotizing

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1669 Ureterosciatic Hernia: A Case Report and Review of the Literature

British Journal of Surgery ◽

10.1093/bjs/znab259.403 ◽

2021 ◽

Vol 108 (Supplement_6) ◽

Author(s):

C A Woo ◽

M K Quraishi

Keyword(s):

Case Report ◽

Open Repair ◽

Incidental Finding ◽

Obstructive Uropathy ◽

Systemic Review ◽

Management Options ◽

English Only ◽

Search Terms ◽

Sciatic Hernia ◽

Advanced Search

Abstract Aim Ureterosciatic hernia (USH) is an extremely unusual condition, with presentations ranging from asymptomatic, to flank pain, renal failure, septic shock and even obstructive uropathy. Due to its rarity, there are no recommendations on the treatment of USH. We therefore carried out a systemic review of published literature on its management. Method The systemic review was completed using three search terms: “uretero sciatic hernia”, “ureterosciatic hernia” and “ureteric sciatic hernia” on Healthcare Databases Advanced Search, producing 224 potential papers. This was narrowed down to 42 papers after using the PRISMA guidelines. All selected papers included a case report of USH, as well as the investigation and management in English only. Result We report a case of an 85-year-old female who was investigated for weight lost with Computed Tomography(CT), which showed an incidental finding of USH. She was managed conservatively after she denied any symptoms and had no hydronephrosis. Abdominal pain was the most common presentation of USH(64%), whilst only 9.5% were found incidentally. 79% of all patients had a CT scan which showed the pathognomonic “curlicue” sign. 55% of all patients had hydronephrosis. Half of all patients had surgical intervention, from open repair to laparoscopic to robotic(9.5% of all management)with no known mortality. Conservatively management(16.6%) was reserved for asymptomatic/poor surgical candidates, and were more likely to be followed up compared to surgical patients(55.5%vs47.6%). Conclusions Our case is of an incidental USH managed conservatively, with a literature review emphasising similarities to our case and the different management options.

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Obstructive uropathy in a patient with primary myelofibrosis and non-IgM monoclonal gammopathy of undetermined significance—a case report

Journal of Xiangya Medicine ◽

10.21037/jxym-20-48 ◽

2020 ◽

Vol 5 ◽

pp. 18-18

Author(s):

Jiao Quan ◽

Hui Xu ◽

Dengshu Wu ◽

Yancheng Luo ◽

Lijian Tao ◽

...

Keyword(s):

Case Report ◽

Monoclonal Gammopathy ◽

Obstructive Uropathy ◽

Primary Myelofibrosis ◽

Undetermined Significance

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Neonatally Diagnosed Imperforate Hymen: Hymen Saving Surgery

Journal of King Abdulaziz University-Medical Sciences ◽

10.4197/med.24-3.6 ◽

2017 ◽

Vol 24 (3) ◽

pp. 55-59

Author(s):

Maram A. Enani ◽

Wejdan O. Ba-Amer ◽

Alfaf S. Aljohani ◽

Shahad A. Aljohani ◽

Noor A. Aljohani ◽

...

Keyword(s):

Case Report ◽

Early Diagnosis ◽

Genital Tract ◽

Neonatal Period ◽

Female Genital Tract ◽

Late Diagnosis ◽

Diagnosis And Treatment ◽

Early Management ◽

Imperforate Hymen ◽

Female Genital

Imperforate hymen is the most common obstructive anomalies of the female genital tract. It is usually an isolated anomaly but can be rarely syndromic. It can be asymptomatic until puberty, but the diagnosis as early as neonatal period has been reported and as with our neonate with hematocolpos. The aim of this case report is to present the early diagnosis and treatment of a female neonate with imperforate hymen taking into consideration the religious and traditional value of preservation of virginity in our community, and to stress the importance of careful post birth examination of the neonate and early management to avoid complications of late diagnosis.

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A Rare Case Report of Microperforate Hymen with Difficulty in Penetration

The Journal of South Asian Federation of Menopause Societies ◽

10.5005/jp-journals-10032-1052 ◽

2014 ◽

Vol 2 (2) ◽

pp. 97-98

Author(s):

Vijay Kumar ◽

Kusuma Vijay Kumar ◽

KH Krishnamurthy

Keyword(s):

Case Report ◽

Surgical Treatment ◽

South Asian ◽

Rare Case ◽

Imperforate Hymen ◽

Rare Case Report

ABSTRACT A rare case of 26-year-old women with microperforate hymen reported a difficulty in intercourse. Hymenectomy is the surgical treatment for imperforate hymen and microperforate hymen. A knife or electrocautery can be used to excise hymenal tissue. How to cite this article Kumar V, Kumar KV, Krishnamurthy KH, Kumar R. A Rare Case Report of Microperforate Hymen with Difficulty in Penetration. J South Asian Feder Menopause Soc 2014;2(2):97-98.

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