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Uterine Cervical Aplasia and Agenesis


Presentation

  • […] if the condition was present at the time of inpatient admission.[icd.codes]
  • Presentation [ edit ] Patients with cervical agenesis typically present in early adolescence, around the time of menarche, with amenorrhea and cyclic pelvic pain caused by the obstruction of menstrual flow from the uterus. [1] Complications [ edit ] If[en.wikipedia.org]
  • Laparoscopy is seldom required to make the diagnosis but may be appropriate in the patient presenting with pelvic pain.[ijogr.com]
  • Patients typically present primary amenorrhea, cyclical abdominal or pelvic pain, dyspareunia and/or reproductive problems.[orpha.net]
  • Although some patients may present with signs and symptoms of gallbladder disease and ultrasound may suggest findings consistent with chronic cholecystitis (shrunken gallbladder). Jaundice may be present with a dilated common bile duct .[radiopaedia.org]
Thyroid Nodule
  • MORPHOLOGY OF THE PITUITARY 19 THE OPTIC CHIASM IN ENDOCRINOLOGIC 204 PARANEOPLASTIC ENDOCRINE 223 SEX HORMONES AND HUMAN 219 APPROACH TO THE PATIENT WITH 37 ADVERSE EFFECTS OF IODIDE 360 MORPHOLOGY OF THE THYROID 38 NONTOXIC GOITER 366 SYNTHESIS AND 39 THE THYROID[books.google.de]
Goiter
  • MORPHOLOGY OF THE PITUITARY 19 THE OPTIC CHIASM IN ENDOCRINOLOGIC 204 PARANEOPLASTIC ENDOCRINE 223 SEX HORMONES AND HUMAN 219 APPROACH TO THE PATIENT WITH 37 ADVERSE EFFECTS OF IODIDE 360 MORPHOLOGY OF THE THYROID 38 NONTOXIC GOITER 366 SYNTHESIS AND[books.google.de]
Cervical Incompetence
  • incompetency頸管無力症 cervical intraepithelialneoplasia (CIN)子宮頸部上皮内腫瘍 cervicitis子宮頸管炎 chemotherapy化学療法 choriocarcinoma絨毛癌 chromosomal analysis染色体分析 chromosomal test染色体検査 Chlamydia trachomatisクラミジア トラコマテイス climacteric disturbance(disorder)更年期障害 colposcopic[tokyo-med.ac.jp]
Chordee
  • […] testicle, unspecified Cryptorchism NOS Q54 Hypospadias Excludes: epispadias ( Q64.0 ) Q54.0 Hypospadias, balanic Hypospadias: · coronal · glandular Q54.1 Hypospadias, penile Q54.2 Hypospadias, penoscrotal Q54.3 Hypospadias, perineal Q54.4 Congenital chordee[apps.who.int]
Incontinence
  • […] the uterus may exist, but be very small Infertility (though not everyone with MRKH is infertile, and some can even carry to term and deliver normally) Painful intercourse due to a short vagina ( dyspareunia due to vaginal aplasia ) Problems urinating, incontinence[allthingsvagina.com]

Workup

  • After initial infertility workup, both patients underwent diagnostic laparoscopy for suspected tubal disease. In each case, operative findings were consistent with unilateral ovarian hypoplasia.[file.scirp.org]
Abnormal Thyroid Function Test
  • THYROID FUNCTION TEST 47 THYROID DISORDERS OF INFANCY 462 P A RT IV CALCIUM AND BONE METABOLISM 473 MORPHOLOGY OF THE PARATHYROID 51 PARATHYROID HORMONE 497 PHYSIOLOGY OF CALCIUM 52 PARATHYROID HORMONERELATED 512 CLINICAL APPLICATION OF BONE MINERAL[books.google.de]
Chlamydia
  • 児頭骨盤不均衡 cervical cancer子宮頸癌 cervical dysplasia子宮頚部形成異常(異形成) cervical gland子宮頸管腺 cervical incompetency頸管無力症 cervical intraepithelialneoplasia (CIN)子宮頸部上皮内腫瘍 cervicitis子宮頸管炎 chemotherapy化学療法 choriocarcinoma絨毛癌 chromosomal analysis染色体分析 chromosomal test染色体検査 Chlamydia[tokyo-med.ac.jp]
Chlamydia Trachomatis
  • trachomatisクラミジア トラコマテイス climacteric disturbance(disorder)更年期障害 colposcopic examinationコルポスコープ(膣鏡)による検診 colposcopyコルポスコピー condylomaコンジローム cone biopsy円錐切除術 congenital adrenalhyperplasia (CAH)副腎性器症候群 conization円錐切除術 colpitis膣炎 culdocentesisダグラス窩穿刺 cycle[tokyo-med.ac.jp]

Treatment

  • Treatment Options: No treatment– or delayed treatment until a young woman is mature enough to make her own decision. The decision for treatment or not to have treatment should always be made by the patient, after careful consideration of options.[youngwomenshealth.org]
  • Cervical duplication treatment is typically not urgent unless the condition causes symptoms or if a woman is pregnant or trying to get pregnant.[childrens.com]
  • You will be taught dilator therapy and supervised by the Clinical Nurse Specialist throughout your treatment. This is the preferred and first line of treatment for the women seen at this centre.[mrkh.org.uk]
  • Treatment also includes- Dilatation of cervix and uterovaginal tract with a stent (a tube) may be placed in cervix for 4-6 weeks [4]. Treatment can be dilatation of cervix with catheter in situ for 1-2 weeks [5].[medresearch.in]
  • Babies with birth defects often need special care and treatments. The treatments may include surgery, medicines, assistive devices, and therapies. Centers for Disease Control and Prevention Intersex (Medical Encyclopedia) [ Read More ][icdlist.com]

Prognosis

  • Patient and her parents were counseled about poor prognosis in view of cervical stenosis and were asked to follow up as the definitive plan in this case was hysterectomy.[jpgo.org]
  • The case was discussed with the patient and her family and prognosis regarding reproductive potential was explained. They decided in favor of hysterectomy and the patient was taken up for laparoscopy again.[gynecendoscopy.org]
  • Prognosis The prognosis for aplasia cutis congenita (ACC) is usually excellent. If the defect is small, recovery is uneventful, with gradual epithelialization and formation of a hairless, atrophic scar over several weeks.[emedicine.medscape.com]
  • Uterus didelphys with an imperforate hemivagina is the least common abnormality of the Mullerian ducts, but has the best prognosis in terms of alleviation of symptoms and future fertility of these patients.[omicsonline.org]
  • […] premature ovarian failure早発閉経(早発卵巣機能不全) premature rupture of themembranes前期破水 premature separation ofnormally implanted placenta常位胎盤早期剥離 premenstrual syndrome月経前症候群(月経前緊張症) presentation胎位 preterm早期 primordial follicle原始卵胞 primordial germ cell原始生殖細胞 prognosis[tokyo-med.ac.jp]

Etiology

  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • The exact etiology is unknown, however it is thought to result either from failure of the cystic bud to form or from lack of vacuolation.[radiopaedia.org]
  • It was presumed in that case that the most likely etiology was an insult to the unilateral urogenital ridge.[file.scirp.org]
  • Müllerian agenesis (including absence of the uterus, cervix and/or vagina) is the etiology in 15% of cases of primary amenorrhoea.[icd.codes]
  • The true etiology of ipsilateral ovarian and/or tubal absence has yet to be elucidated ( 1 – 3 ).[spandidos-publications.com]

Epidemiology

  • […] uterovaginal anastomosis is less than 50% and most patients require multiple surgeries while many develop cervical stenotis. [2] [3] Despite this, several pregnancies have been reported in women with cervical agenesis who underwent surgical treatment. [4] Epidemiology[en.wikipedia.org]
  • Epidemiology Frequency Aplasia cutis congenita (ACC) is an uncommon anomaly of newborns.[emedicine.medscape.com]
Sex distribution
Age distribution

Pathophysiology

  • […] menstrual flow from the uterus. [1] Complications [ edit ] If untreated, the accumulation of menstrual fluid in the uterus caused by cervical agenesis can lead to hematocolpos, hematosalpinx, endometriosis, endometrioma and pelvic adhesions. [1] [2] Pathophysiology[en.wikipedia.org]
  • Pathophysiology The exact pathophysiology of aplasia cutis congenita (ACC) is unclear. Proposed mechanisms include intrauterine trauma, vascular compromise, infection, and medications.[emedicine.medscape.com]

Prevention

  • - 0% Emergent - ED Care Needed - Preventable/Avoidable - 0% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary diagnosis[codelay.com]
  • Centers for Disease Control and Prevention Intersex (Medical Encyclopedia) [ Read More ][icdlist.com]
  • Hymeneal Abnormalities An imperforate hymen completely obstructs the vaginal opening and prevents menstrual blood from getting out of the vagina. It may be congenital or the result of an injury.[fwcenterforpelvicmedicine.com]
  • Any uterine tissue can be removed to prevent endometriosis and any ovarian impairment – we want those to stay working, since they provide the body with oestrogen and stop premature menopause.[allthingsvagina.com]
  • Cervical agenesis may be treated with oral contraceptives (birth control pills), temporarily, to prevent periods since menstrual blood is unable to flow from the body.[childrens.com]

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