scholarly journals Rare case: enucleation of multiple fibroids after intraoperative vaginal sonographic detection of the solitary pelvic kidney by patient with Mayer-Rokitansky-Kuster-Hauser syndrome

2020 ◽  
Vol 9 (9) ◽  
pp. 3873
Author(s):  
Elvin Piriyev ◽  
Thomas Romer
Keyword(s):  
Genital Tract ◽  
Kidney Injury ◽  
Contralateral Side ◽  
Uterine Horn ◽  
Pelvic Kidney ◽  
Lower Abdomen ◽  
Mrkh Syndrome ◽  
Tissue Alteration ◽  
Vaginal Sonography ◽  
The Right

Mayer-Rokitansky-Kuster-Hauser syndrome (MRKH) is a congenital anomaly of the genital tract that occurs in about 1 in 4000 women. MRKH syndrome can be associated with renal, skeletal, heart and hearing abnormalities. The frequency of renal/urinary tract abnormalities is 33%. Only a few cases of fibroid development in MRKH syndrome have been described in the literature. The diagnosis and surgery of a fibroid in MRKH syndrome may be complicated in associated kidney abnormality by an atypical kidney position, as in this case: pelvic kidney on one side and renal agenesia on the contralateral side. Authors present the case of a 47-year-old female patient with a known MRKH syndrome and a pelvic kidney on the right side who had presented with an unclear tumour in the right lower abdomen. A completed CT scan revealed the tumour directly next to the pelvic kidney. A malignancy could not be excluded with certainty, so that a laparoscopy in laparotomy readiness was indicated and performed. During surgery, two rudimentary uterine horns were found; on the right side retroperitoneally, below the uterine horn, the tumour was located and directly below it there was a soft tissue alteration, probably the kidney. For safety, a vaginal sonography was performed in between, to clearly identify the only kidney and to avoid damaging it. The tumour could be extirpated laparoscopically without kidney injury. The two uterine horns were removed simultaneously. Histologically the fibroid could be confirmed. In addition, three other fibroids (one on the left side and two on the right side) were detected. Due to the high probability of a simultaneous kidney abnormality in the MRKH syndrome, authors suggest an accurate kidney diagnosis preoperatively. If necessary, in the case of a pelvic kidney and/or renal agenesia, as in this case, an additional intraoperative kidney check should be performed.

scholarly journals Incidental Finding of Leiomyoma in Mayer-Rokitansky-Kuster-Hauser Syndrome

2021 ◽  
Vol 9 ◽  
pp. 232470962110146
Author(s):  
Oyetokunbo Ibidapo-Obe ◽  
Jerome Okudo ◽  
Oladunni Filani
Keyword(s):  
Developmental Disorder ◽  
Congenital Abnormalities ◽  
Incidental Finding ◽  
Pelvic Mass ◽  
External Genitalia ◽  
Well Being ◽  
African American Female ◽  
Mrkh Syndrome ◽  
Low Probability ◽  
The Right

Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome is a sexual developmental disorder. In this disorder, there is a congenital absence of the uterus and vagina with normal external genitalia. The etiology is not well understood. Variations of this condition exist that may include congenital abnormalities and psychological problems. In this article, we discuss the case of a 47-year-old African American female who presented with acute renal failure, solitary right kidney, and a pelvic mass extending from the pelvis to the right hypochondrium determined to be a fibroid. The patient was managed by a multidisciplinary team, dialyzed, and planned for removal of the mass. While understanding the low probability of having fibroids without a uterus, fibroids should not be excluded from such patients. It is also important to consider the emotional and psychological well-being of such patients.

scholarly journals Anomalous Origin of the Right Coronary Artery From Contralateral Side: A Series of 17 Cases

2013 ◽  
Vol 62 (18) ◽  
pp. C228
Author(s):  
Sedat Köroğlu ◽  
Arif Suner ◽  
Cemal Tuncer ◽  
Ahmet Akcay ◽  
Alper Nacar ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Contralateral Side ◽  
Anomalous Origin ◽  
The Right

Oocyte and ovary morphological observation of gray wolf (Canis lupus)

2010 ◽  
Vol 60 (3) ◽  
pp. 249-257
Author(s):  
Xu-Guang Liu ◽  
Zhi-Zhong Zhang ◽  
Yun-Hai Zhang ◽  
Yun-Sheng Li ◽  
Fu-Gui Fang ◽  
...  
Keyword(s):  
Histological Examination ◽  
Reproductive System ◽  
Canis Lupus ◽  
Smooth Surface ◽  
Uterine Horn ◽  
Left Ovary ◽  
Morphological Observation ◽  
Gray Wolf ◽  
Antral Follicles ◽  
The Right

AbstractThe present study was carried out to describe the reproductive system of a single adult female wolf, including the uterine horns, cervix, ovaries and follicles. The cumulus oocytes complexes (COCs) and oocytes were also examined. The results showed that the size of each ovary was about 9 × 6 mm with an average of weight of 461.3 mg. The uterus was Y-shaped, and the length of each uterine horn was 14 cm. The distance from the cervix to the bifurcation of the uterine horns was also 14 cm. The left ovary had two large follicles on the surface with a diameter more than 4 mm, while the right ovary had no protuberant follicles. The ovaries were covered with a lot of fat, and were well developed. The COCs derived from the antral follicles were dark, and the nuded oocytes had a dark cytoplasm. The diameter of the oocytes removed from the antral follicles was 116.8 μm on average. The ovaries had a smooth surface and all the follicles were under the surface except for two big follicles on the left ovary. Histological examination of the ovaries by haematoxylin and eosin staining demonstrated that the primordial, primary, preantral and antral follicles were scattered in the cortex, the medulla was abundant with blood vessels. This study preliminarily reveals the features of the wolf reproductive system and the structure of its oocytes and ovaries, which might be indicative for further study and the protection of the species.

scholarly journals Carotid Cavernous Sinus Fistula with Contralateral Feed Not Diagnosed by Virtual Assessment or by Non-Invasive Vascular Imaging

2021 ◽  
Vol 12 (2) ◽  
pp. 712-716
Author(s):  
Edsel Ing ◽  
Felix Tyndel ◽  
Joyce Tang ◽  
Thomas R. Marotta
Keyword(s):  
Vision Loss ◽  
Contralateral Side ◽  
Computed Tomographic Angiography ◽  
Low Flow ◽  
Computed Tomographic ◽  
Non Invasive ◽  
Carotid Cavernous Sinus Fistula ◽  
The Right ◽  
Tomographic Angiography ◽  
Ocular Signs

A 67-year-old woman had delayed initial diagnosis of her right low flow carotid cavernous fistula (CCF) during the coronavirus disease (COVID-19) pandemic due to difficulty detecting ocular signs via online virtual examinations. Her right eye conjunctival erythema and proptosis with medial rectus enlargement on computed tomography scan was initially misdiagnosed as euthyroid thyroid-associated orbitopathy without lid retraction. She developed vision loss, and increasing episcleral venous congestion and CCF was suspected. Computed tomographic angiography did not show an obvious fistula. Digital subtraction angiography revealed the right-sided low flow CCF, which was fed from vessels from the contralateral side.

scholarly journals A Novel Technique to Assess Rotational Deformities in Lower Extremities

2020 ◽  
Author(s):  
Peyman Bakhshayesh ◽  
Ugwunna Ihediwa ◽  
Sukha Sandher ◽  
Alexandros Vris ◽  
Nima Heidari ◽  
...  
Keyword(s):  
Moving Objects ◽  
Sagittal Plane ◽  
Three Dimensional ◽  
Contralateral Side ◽  
Ct Images ◽  
New Technique ◽  
X Rays ◽  
Digital Technique ◽  
The Right ◽  
Im Nailing

Abstract Introduction: Rotational deformities following IM nailing of tibia has a reported incidence of as high as 20%. Common techniques to measure deformities following IM nailing of tibia are either based on clinical assessment, plain X-rays or CT-scan comparing the treated leg with the uninjured contralateral side. All these techniques are based on examiners manual calculation inherently subject to bias. Following our previous rigorous motion analysis and symmetry studies on hemi pelvises, femurs and orthopaedic implants, we aimed to introduce a novel fully digital technique to measure rotational deformities in the lower legs.Material and Methods: Following formal institutional approval from the Imperial College, CT images of 10 pairs of human lower legs were retrieved. Images were anonymized and uploaded to a research server. Three dimensional CT images of the lower legs were bilaterally reconstructed. The mirrored images of the left side were merged with the right side proximally as stationary and distally as moving objects. Discrepancies in translation and rotation were automatically calculated.Results: Our study population had a mean age of 54 ± 20 years. There were six males and four females. We observed a greater variation in translation (mm) of Centre of Mass (COM) in sagittal plane (CI: -2.959--.292) which was also presented as rotational difference alongside the antero-posterior direction or Y axis (CI: .370-1.035). In other word the right lower legs in our study were more likely to be in varus compared to the left side. However, there were no statistically significant differences in coronal or axial planes.Conclusion: Using our proposed fully digital technique we found that lower legs of the human adults were symmetrical in axial and coronal plane. We found sagittal plane differences which need further addressing in future using bigger sample size. Our novel recommended technique is fully digital and commercially available. This new technique can be useful in clinical practice addressing rotational deformities following orthopaedic surgical intervention. This new technique can substitute the previously introduced techniques.

scholarly journals Morphologic aspects of the genital tract from Nellore cows undergoing gynecological screening to insertion in the fixed-time artificial insemination (TAI) program

2014 ◽  
Vol 31 (02) ◽  
pp. 118-122
Author(s):  
R. Mello ◽  
M. Mello ◽  
M. Abidu-Figueiredo ◽  
P. Scherer ◽  
H. Palhano
Keyword(s):  
Artificial Insemination ◽  
Genital Tract ◽  
Body Condition Score ◽  
Fixed Time ◽  
The Body ◽  
Morphological Aspects ◽  
Functional Aspects ◽  
Condition Score ◽  
The Right ◽  
Rectal Palpation

Abstract Introduction: This study aimed to evaluate the morphology of the genital tract from 98 Nellore cows by rectal palpation and combine them with the functional aspects for inclusion in a fixed-time artificial insemination (TAI) program. Methods: Were evaluated the ovaries, cervix and vulva, as well as the body condition score (BCS scale 1-5). Results: In relation to the ovaries, there were palpable structures found in 51 (17 CL and 34 FL) in the rights ovarian and 37 palpable structures (06 CL and 31 FL) in the left ovary. Asymmetry was found in 17.3% and uterine cervicitis in 20.4% of examined females. Changes were noted in vulva in 51.0% (40 to 10 papules and hyperemia) and the average of BCS was 3.15. On the basis of morphological aspects founded, 29 females with an average of BCS 2.7 and 01 with metritis were excluded and 07 (BCS-3, 5) inseminated immediately after the exam, with 61 included in the TAI program. These data support the conclusion that of all ovulations occurred, characterized by the presence of CL, most occurred in the right ovary (73.9%). The prevalence rate (51%) of vulvar aspects found, indicate a need for research of reproductive diseases in their flock. Conclusion: The BCS may impacts on the cyclicity and in the pregnancy rate of females included in the program.

scholarly journals Renal resistivity index as an aid in the diagnosis of acute kidney injury in bitches with pyometra

2021 ◽  
Vol 15 (3) ◽  
pp. 225-228
Author(s):  
Aline de Sousa Alves ◽  
Fernanda Vieira Henrique ◽  
Sabrina Barros Araújo ◽  
Dayanny de Sousa Alencar ◽  
Higina Moreira Melo ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Small Animal ◽  
Kidney Injury ◽  
Urinary Protein ◽  
Creatinine Ratio ◽  
Resistivity Index ◽  
Gamma Glutamyltransferase ◽  
Early Markers ◽  
The Right

This study aimed to evaluate the renal function of six bitches of various breeds and ages, with open pyometra, attended in the Small Animal Medical Clinic sector of the Veterinary Hospital from Federal University of Campina Grande, through the measurement of laboratory tests: urea and creatinine serum, dosage of the urinary Protein-Creatinine Ratio (PCR), urinary gamma-glutamyltransferase (GGT) and determination of the renal resistivity index (RI). The levels of urea and creatinine were elevated in 16.6% (1/6) of the female dogs; the urinary protein-creatinine ratio was increased in 66.6% (4/6), while the urinary gamma-glutamyltransferase value was elevated in 50% (3/6). The renal resistivity index was increased in the right and left kidneys by 66.6% (4/6) of bitches, with no statistical difference between them. It was concluded that the renal resistivity index was a practical and effective method to assist in the diagnosis of acute kidney injury, along with other early markers, such as PCR and urinary GGT.

scholarly journals Delayed Presentation of Gluteal Compartment Syndrome: The Argument for Fasciotomy

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
John E. Lawrence ◽  
Duncan J. Cundall-Curry ◽  
Kuldeep K. Stohr
Keyword(s):  
Compartment Syndrome ◽  
Kidney Injury ◽  
Limb Ischaemia ◽  
Delayed Presentation ◽  
Neurological Improvement ◽  
Tertiary Centre ◽  
Acute Limb Ischaemia ◽  
Nerve Recovery ◽  
The Right ◽  
Gluteal Compartment Syndrome

A male patient in his fifties presented to his local hospital with numbness and weakness of the right leg which left him unable to mobilise. He reported injecting heroin the previous morning. Following an initial diagnosis of acute limb ischaemia the patient was transferred to a tertiary centre where Computed Tomography Angiography was reported as normal. Detailed neurological examination revealed weakness in hip flexion and extension (1/5 on the Medical Research Council scale) with complete paralysis of muscle groups distal to this. Sensation to pinprick and light touch was globally reduced. Blood tests revealed acute kidney injury with raised creatinine kinase and the patient was treated for rhabdomyolysis. Orthopaedic referral was made the following day and a diagnosis of gluteal compartment syndrome (GCS) was made. Emergency fasciotomy was performed 56 hours after the onset of symptoms. There was immediate neurological improvement following decompression and the patient was rehabilitated with complete nerve recovery and function at eight-week follow-up. This is the first documented case of full functional recovery following a delayed presentation of GCS with sciatic nerve palsy. We discuss the arguments for and against fasciotomy in cases of compartment syndrome with significant delay in presentation or diagnosis.

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