Nadir Bir Pelvik Ağrı Nedeni: Uterus Rudimenter Hornu İçerisinde Dejenere Miyom

Yıl 2014, Cilt: 5 Sayı: 3, 72 - 74, 01.03.2014

Alaaddin Nayman , Ulku Kerimoğlu Mehmet Çolakoğlu

Öz

Giriş: Farklı konjenital uterin anomalilerde tedavi seçenekleri
önemli ölçüde değişebilmektedir, bu nedenle operasyon öncesi
görüntüleme kritik önem arzetmektedir.
Olgu Sunumu: Pelvik ağrı ve kusma şikayetleri olan 29 yaşında
bayan hasta USG ve pelvik MRG ile değerlendirildi. USG’de pelvik
bölgede dejenere miyomu düşündüren hipoekoik kitle saptandı.
Bunun üzerine over kitlesi ekartasyonu için pelvik MRG yapıldı ve
MRG’de dejenere miyom görüldü. Miyom uterus sağ tarafında rudimenter
horn içerisinde idi. Görünüm laparatomi ile doğrulandı.
Sonuç: Akut pelvik patolojilerde USG ilk tercih olmakla birlikte
konjenital anomalierin tanısında MRG daha üstündür.

Anahtar Kelimeler

USG, MRG, uterin anomali, dejenere miyom

A Rare Cause of Pelvic Pain: Degenerated Myoma Within a Rudimentary Horn of Unicornuate Uterus

Öz

Introduction: Treatment options for the different congenital uterine abnormalities of the uterus vary considerably; therefore, preoperative imaging plays a crucial role in the management. Case Report: A 29-year-old woman who had pelvic pain and vomiting, were examined with pelvic ultrasound (US) and magnetic resonance imaging (MRI). A hypoechoic pelvic mass was detected via ultrasound. A degenerated myoma was estimated, but to exclude a mass from the right ovary, a pelvic MRI was performed. The degenerated myoma was considered and was located in the rudimentary horn of the right side of the uterus. This appearance was confirmed by laparotomy.Conclusion: Although ultrasound is the first imaging modality for acute pelvic pathologies, magnetic resonance imaging is superior to ultrasound in evaluating the congenital abnormalities of the uterus

Anahtar Kelimeler

US, MRI, uterine anomaly, degenerated myoma

Kaynakça

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