Changes of Rat Embryon Nephrogenesis during Cadmium Salt Intoxication in Pregnant Females

The purpose of the experimental study was to determine morphogenetic disorders of embryonic and fetal kidney development in chronic intragastric exposure to cadmium salts (cadmium chloride, cadmium citrate) in pregnant females. Materials and methods. Low doses of cadmium salts were selected for the study, which can be compared with the actual concentration of cadmium in the daily diets of women, including pregnant women, in industrial regions. In the experiment, female rats with a given gestational age were divided into groups as follows: Group 1 – control (number of females – n = 16, of which 8 left the experiment on the 13th day of pregnancy, and 8 on the 20th; the number of embryos – n13 = 76; n20 = 77); Group 2 – administration of cadmium chloride at a dose of 1.0 mg/kg body weight of the female (number of females – n = 16; number of embryos – n13 = 65; n20 = 62); Group 3 – administration of cadmium citrate at a dose of 1.0 mg/kg body weight of the female (number of females – n = 16; number of embryos – n13 = 69; n20 = 70). Results and discussion. New quantitative data on the effect of cadmium salts were obtained on the thickness of the cortical and cerebral layers of the kidneys, the diameter and area of the cavity of the nephron capsule in the prenatal period of development in chronic female intoxication. On the 13th day, the effect of cadmium salts on the development of embryonic kidneys was multidirectional: the effect of cadmium chloride led to an increase in the thickness of the mesonephros and mesonephric duct, and the effect of cadmium citrate reduced the studied parameters. On the 20th day of rat embryogenesis in the group exposed to cadmium chloride, the renal weights increased, and when exposed to cadmium citrate, the weight of the kidneys decreased significantly (p˂0.05) both in comparison with control values and in the group exposed to cadmium chloride. On the 20th day of development, in order to exclude an error in estimating the dynamics of changes in the weight of embryo mass and kidney mass, the nephrofetal index was calculated, i.e. the ratio of wet kidney mass to wet weight of fixed fetus. Histological parameters of nephron diameters were also compared. Conclusion. Cadmium citrate has been shown for the first time to be less non-photoxic than cadmium chloride. Calculation of the area of the cavity of the nephron capsule by the spline contour method showed a 2.6-fold decrease in the average area of the capsule cavity in the group exposed to cadmium chloride relative to the control mean values, indicating a violation of nephrogenesis. When exposed to cadmium citrate, there was also a decrease in the area of the cavity of the nephron capsule by 1.8 times, which indicates a lower level of nephrotoxic cadmium citrate compared to cadmium chloride, despite the identity of the dose of exposure

Zinner Syndrome with Ectopic Ureter Remnant

: Zinner syndrome is a rare congenital abnormality defined by a clinical triad of unilateral renal agenesis, ipsilateral seminal vesicle cyst, and ipsilateral ejaculatory duct obstruction. Most patients are asymptomatic, but if the cystic dilatation of the seminal vesicle becomes significant, it can result in urinary symptoms such as dysuria and urinary retention. This rare developmental anomaly related to the mesonephric duct can also present with other abnormalities. Here, we report our experience of Zinner syndrome with bladder outlet obstruction and an ectopic ureter remnant.

Zinner Syndrome

Zinner syndrome is a developmental anomaly of the urogenital tract. This condition is defined by the triad of unilateral renal agenesis, ipsilateral seminal vesicle cyst and ipsilateral ejaculatory duct obstruction. The syndrome is due to malformation of the mesonephric duct during embryogenesis. The condition used to be rare but is now frequently encountered due to the advent of MRI and CT. MRI confirms the diagnosis by revealing the seminal vesicle cyst and its contents, and the ejaculatory duct obstruction, while CT confirms renal agenesis. We report the case of a young patient with Zinner syndrome.

Concerted morphogenesis of genital ridges and nephric ducts in the mouse captured through whole embryo imaging

During development of the mouse urogenital complex, the gonads undergo changes in three-dimensional structure, body position, and spatial relationship with the mesonephric ducts, kidneys, and adrenals. The complexity of genital ridge development obscures potential connections between morphogenesis and gonadal sex determination. To characterize the morphogenic processes implicated in regulating gonad shape and fate, we used whole embryo tissue clearing and light sheet microscopy to assemble a time course of gonad development in native form and context. Analysis revealed that gonad morphology is determined through anterior-to-posterior patterns as well as increased rates of growth, rotation, and separation in the central domain that may contribute to regionalization of the gonad. We report a close alignment of gonad and mesonephric duct movements and delayed duct development in a gonad dysgenesis mutant, which together support a mechanical dependency linking gonad and mesonephric duct morphogenesis.

Female Adnexal Tumour of Wolffian Origin: A Rare Case Report

Female Adnexal Tumour of Wolffian Origin (FATWO) is a rare tumour occurring in adnexal region, arising from the remnants of the mesonephric duct, in places like the broad ligament, fallopian tube, ovarian hilum, peritoneum. Here the authors have reported a case of FATWO in a 47-year-old woman occurring in the wall of fallopian tube and confirmed with immunohistochemistry. Most of these tumours behave in a benign fashion but certain histological features like hypercellularity, cellular pleomorphism and nuclear atypia cause significant confusion in histopathological diagnosis. Multiple differential diagnoses were considered. After careful histopathological examination and thorough investigation with multiple immunohistochemical stains, the diagnosis was ultimately established.

Misdiagnosed mesonephric adenocarcinoma in the cervix: a case report and review of the literature

Background Mesonephric adenocarcinoma (MNAC) in the female reproductive system is a rare tumour caused by remnants of the mesonephric duct, mainly located in the cervix. Because of the rarity of the disease and few reports to date, no specific clinical features have been identified. Its diagnosis is challenging because MNAC may exhibit multiple morphological patterns, complicating differential diagnosis. Case presentation We report a 57-year-old female with cervical MNAC who was misdiagnosed with squamous cell carcinoma by biopsy. Histological study revealed a solid, glandular and papillary tumour. The pattern of papillary growth exhibited a vascular axis, and the morphology was similar to that of high-grade squamous intraepithelial lesions. Based on immunohistochemistry, the tumour cells were negative for CK5/6, P40 and Vimentin; GATA-binding protein 3 (GATA3), CD10, AE1/AE3, CK7 and P16 were diffusely positive; calretinin was focally positive; and oestrogen receptor (ER), progesterone receptor (PR), thyroid transcription factor-1 (TTF1) and p53 were negative. The patient received neoadjuvant chemotherapy, surgery and adjuvant chemotherapy and had no evidence of disease as of 10 months after the operation. The clinical manifestations, pathological features, treatment and prognosis of MNAC were summarized by reviewing the existing literature. Conclusions When tumours with papillary and squamous epithelial growth patterns are detected by biopsy, it is necessary to apply immunohistochemistry analysis to avoid misdiagnosis.

Gartner’s Duct Cyst of the Vagina: A Case Report

Paramesonephric duct or Mullerian ducts forms female genital organs whereas mesonephric ductforms male genital organs. The remnant of the mesonephric duct or Wolffian duct in femalessometimes forms a mesonephric cyst or Gartner’s duct cyst. They are usually asymptomatic and <2cm but sometimes can be bigger. It is diagnosed with pelvic examination. It is treated with surgicalexcision of the cyst. This is a unique case in urogynecology as it confuses with pelvic organ prolapseand the mode of treatment is completely different. We report a case of 32-years old lady whopresented in urogynecology outpatient department with complain of pelvic organ prolapse. Afterexamination she was diagnosed as vaginal cyst and excision was done and confirmed as Gartnerscyst in histopathological examination.