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Dev gartner kanalı kistine bağlı kıvrımlı dilate üreter ve idrar retansiyonu

Yıl 2024, Cilt: 2 Sayı: 3, 120 - 122, 30.10.2024
https://doi.org/10.61845/agrimedical.1461318

Öz

Gartner kanal kisti (GKK), iyi huylu bir konjenital vajinal kist türüdür. Nadiren kız çocuklarında ve genç kadınlarda görülür. Ürolojik anomaliler de görülebilmektedir ve GKK’ye sekonder edinilmiş üriner sistem hastalıkları iyi tanımlanmamıştır. GKK’nin genellikle 20 mm’den küçük olduğu gözlenir ve asemptomatiktir. Daha büyük GKK, alt üriner sistem şikayetlerine, cinsel işlev bozukluğuna ve bağırsak sorunlarına neden olur. Vajinadan çıkan GKK aynı zamanda vajinal organ sarkması olarak da algılanabilir. Pelvik Manyetik Rezonans Görüntüleme GKK’yi tanımlamak için en iyi radyolojik incelemedir. GKK nedeniyle semptomatik olanlara cerrahi tedavi uygulanır. Standartlaştırılmış bir cerrahi tedavi yöntemi yoktur. Bu çalışmada dev GKK nedeniyle idrar retansiyonu gelişen ve beraberinde sol kıvrımlı dilate üreteri olan 74 yaşında kadın hasta olgusunu sunduk. Hastanın fiziki muayenesi yapıldıktan sonra abdominal ultrasonografive tüm batın bilgisayarlı tomografi uygulandı. Daha sonra sistoskopi, üreterorenoskopi ve vajinal marsupializasyon uygulandı. Dev GKK’ye bağlı kazanılmış ürolojik hastalık yaşlı kadınlarda görülebilmektedir. Vajinal organ prolapsusunu taklit eden dev GKK’ye vajinal marsupializasyon uygulanabilir.

Kaynakça

  • 1. Hoogendam JP, Smink M. Gartner's Duct Cyst. N Engl J Med. 2017;376(14):e27.
  • 2. Rios SS, Pereira LC, Santos CB, et all. Conservative treatment and follow-up of vaginal Gartner's duct cysts: a case series. J Med Case Rep.2016;10(1):147.
  • 3. Karakaya BK, Çelik HK, Keçecioğlu M, Evliyaoğlu Ö, Sarıkaya E, Erkaya S. Benign Vajinal Kistlerin Retrospektif Analizi. JGON. 2016;13(4):168-169.
  • 4. Memon SI, Acharya N. A Rare Case of Posterior Vaginal Wall Gartner’s Duct Cyst Mimicking as Genital Prolapse. Cureus. 2022;14(11): e31507.
  • 5. Genovese F, Distefano REC, Piana M, Palumbo M. Large Gartner cyst of the posterior vaginal fornix. BMJ Case Rep. 2022;15(7):e249458.
  • 6. Letizia MJ, Kelly DO, Joseph VM. Case report: Gartner’s Duct Cyst. Emerg. Med. News. 2011;33(5):35.
  • 7. Fan EW, Cheng TC, Chlu AW, Lin H. Pyonephrosis and urinary retention secondary to a large Gartner’s duct cyst associated with a single ectopic ureter in a pregnant woman. BJU Int.2002;89(1):136-137.
  • 8. Siegelman ES, Outwater EK, Banner MP, Ramchandani P, Anderson TL, Schnall MD. Highresolution MR imaging of the vagina. Radiographics. 1997;17(5):1183-1203.
  • 9. Ohya T, Tsunoda S, Arii S, Iwai T. Diagnosis and treatment for persistent Gartner duct cyst in an infant: A case report. J Pediatr Surg. 2002;37(4):E4.
  • 10. Emmons SL, Petty WM. Recurrent giant Gartner's duct cysts. A report of two cases. J Reprod Med. 2001;46(8):773-775.
  • 11. Davidson ERW, Barber MD. A Gartner Duct Cyst Masquerading as Anterior Vaginal Prolapse. Obstet Gynecol. 2017;130(5):1039-1041.
  • 12. Mevcha A, Drake MJ. Etiology and management of urinary retention in women. Indian J Urol. 2010;26(2):230-235.
  • 13. Rathi V, Agrawal S, Bhatt S, Sharma N. Ureteral Dilatation with No Apparent Cause on Intravenous Urography: Normal or Abnormal? A Pilot Study. Adv Urol. 2015;2015:681836.
  • 14. Siegel J, Simhan J, Tausch TJ, Morey AF. Ureteral strictures and reconstruction in the cancer survivor. Curr Opin Urol. 2014;24(4):421-426.
  • 15. Poudel A, Afshan S, Dixit M. Congenital Anomalies of the Urinary Tract. Neoreviews. 2016;17(1): e18–e27.
  • 16. Özcan M, Gök B, Akbulut Z, Özdemir A, Atmaca A. Semptomatik periüretral kistte tanı ve tedavi. Ankara Med J. 2012;12(1):46-47.
  • 17. Whitehurst LA, Somani BK. Semi-rigid ureteroscopy: indications, tips, and tricks. Urolithiasis. 2018;46(1):39-45.
  • 18. Niu S, Didde RD, Schuchmann JK, Zoorob D. Gartner's duct cysts: a review of surgical management and a new technique using fluorescein dye. Int Urogynecol J. 2020;31(1):55-61.

Tortuosed dilated ureter and urinary retention due to giant Gartner duct cyst

Yıl 2024, Cilt: 2 Sayı: 3, 120 - 122, 30.10.2024
https://doi.org/10.61845/agrimedical.1461318

Öz

Gartner duct cyst (GDC) is a type of benign congenital vaginal cyst. It is rarely seen in girls and young women. It can also be observed in urological anomalies, and acquired urinary system diseases secondary to GDC have not been well defined. GDC is generally observed to be smaller than 2 cm and is asymptomatic. The larger GDC causes lower urinary tract complaints, sexual dysfunction and intestinal problems. GDC coming out of the vagina can also be perceived as vaginal organ prolapse. Pelvic Magnetic Resonance Imagınıng is the best radiological examination to identify GDC. Surgical treatment is applied to symptomatic due to GDC. There is no standardized surgical treatment method. In this study, we presented the case of a 74-year-old female patient who developed urinary retention and left tortuosed dilated ureter due to giant GDC. After the physical examination, abdominal ultrasonographyand whole abdominal computerized tomography were performed to the patient. Then, cystoscopy, üreterorenoscopy and vajinal marsupialization were applied. Acquired urologic disease due to giant GDC can be seen in elderly woman. Vaginal marsupialization can be applied to giant GDC that mimic vaginal organe prolapse.

Kaynakça

  • 1. Hoogendam JP, Smink M. Gartner's Duct Cyst. N Engl J Med. 2017;376(14):e27.
  • 2. Rios SS, Pereira LC, Santos CB, et all. Conservative treatment and follow-up of vaginal Gartner's duct cysts: a case series. J Med Case Rep.2016;10(1):147.
  • 3. Karakaya BK, Çelik HK, Keçecioğlu M, Evliyaoğlu Ö, Sarıkaya E, Erkaya S. Benign Vajinal Kistlerin Retrospektif Analizi. JGON. 2016;13(4):168-169.
  • 4. Memon SI, Acharya N. A Rare Case of Posterior Vaginal Wall Gartner’s Duct Cyst Mimicking as Genital Prolapse. Cureus. 2022;14(11): e31507.
  • 5. Genovese F, Distefano REC, Piana M, Palumbo M. Large Gartner cyst of the posterior vaginal fornix. BMJ Case Rep. 2022;15(7):e249458.
  • 6. Letizia MJ, Kelly DO, Joseph VM. Case report: Gartner’s Duct Cyst. Emerg. Med. News. 2011;33(5):35.
  • 7. Fan EW, Cheng TC, Chlu AW, Lin H. Pyonephrosis and urinary retention secondary to a large Gartner’s duct cyst associated with a single ectopic ureter in a pregnant woman. BJU Int.2002;89(1):136-137.
  • 8. Siegelman ES, Outwater EK, Banner MP, Ramchandani P, Anderson TL, Schnall MD. Highresolution MR imaging of the vagina. Radiographics. 1997;17(5):1183-1203.
  • 9. Ohya T, Tsunoda S, Arii S, Iwai T. Diagnosis and treatment for persistent Gartner duct cyst in an infant: A case report. J Pediatr Surg. 2002;37(4):E4.
  • 10. Emmons SL, Petty WM. Recurrent giant Gartner's duct cysts. A report of two cases. J Reprod Med. 2001;46(8):773-775.
  • 11. Davidson ERW, Barber MD. A Gartner Duct Cyst Masquerading as Anterior Vaginal Prolapse. Obstet Gynecol. 2017;130(5):1039-1041.
  • 12. Mevcha A, Drake MJ. Etiology and management of urinary retention in women. Indian J Urol. 2010;26(2):230-235.
  • 13. Rathi V, Agrawal S, Bhatt S, Sharma N. Ureteral Dilatation with No Apparent Cause on Intravenous Urography: Normal or Abnormal? A Pilot Study. Adv Urol. 2015;2015:681836.
  • 14. Siegel J, Simhan J, Tausch TJ, Morey AF. Ureteral strictures and reconstruction in the cancer survivor. Curr Opin Urol. 2014;24(4):421-426.
  • 15. Poudel A, Afshan S, Dixit M. Congenital Anomalies of the Urinary Tract. Neoreviews. 2016;17(1): e18–e27.
  • 16. Özcan M, Gök B, Akbulut Z, Özdemir A, Atmaca A. Semptomatik periüretral kistte tanı ve tedavi. Ankara Med J. 2012;12(1):46-47.
  • 17. Whitehurst LA, Somani BK. Semi-rigid ureteroscopy: indications, tips, and tricks. Urolithiasis. 2018;46(1):39-45.
  • 18. Niu S, Didde RD, Schuchmann JK, Zoorob D. Gartner's duct cysts: a review of surgical management and a new technique using fluorescein dye. Int Urogynecol J. 2020;31(1):55-61.
Toplam 18 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Genel Cerrahi, Üroloji, Kadın Hastalıkları ve Doğum
Bölüm Olgu Sunumu
Yazarlar

Engin Özbay 0000-0001-7102-3064

Ferhat Çetin Bu kişi benim 0000-0002-8613-2711

Mehmet Sertkaya 0000-0001-8966-0619

Yayımlanma Tarihi 30 Ekim 2024
Gönderilme Tarihi 2 Nisan 2024
Kabul Tarihi 22 Ekim 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 2 Sayı: 3

Kaynak Göster

AMA Özbay E, Çetin F, Sertkaya M. Tortuosed dilated ureter and urinary retention due to giant Gartner duct cyst. Ağrı Med J. Ekim 2024;2(3):120-122. doi:10.61845/agrimedical.1461318