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A case of wunderlich syndrome performed supra-cervical hysterectomy

山口医学 Volume 61 Issue 3 Page 93-98
published_at 2012-08-01
B030061000303.pdf
[fulltext] 947 KB
Title
患側子宮上部切断術を施行したWunderlich症候群の1例
A case of wunderlich syndrome performed supra-cervical hysterectomy
Creators Asada Hiromi
Creators Tamura Hiroshi
Creators Tanabe Manabu
Creators Lee Lifa
Creators Kizuka Fumie
Creators Tamura Isao
Creators Maekawa Ryo
Creators Taketani Toshiaki
Creators Yamagata Yoshiaki
Creators Sugino Norihiro
Source Identifiers
Creator Keywords
Wunderlich症候群 重複子宮 子宮留血腫 腎無形成 子宮上部切断術
症例は12歳,女性.重度の月経困難症を主訴に近医を受診し,MRI・CT検査にて子宮奇形と右腎無形成を疑われたため当科紹介となった.各種検査より重複子宮の右側子宮および卵管の留血腫と右腎無形成を認め,Wunderlich症候群と診断した.腹腔鏡で観察した後,本症例の基本術式である経膣的開窓術を試みるも施行困難であったため,開腹術による患側子宮上部切断術を施行した.術後,症状は著明に改善した.
A 12-year-old girl presented with chief complaints of severe dysmenorrhea and lower abdominal pain. Magnetic resonance imaging, computed tomography and drip infusion pyelography showed uterus didelphys with right hematometra and hematosalpinx, and right renal agenesis. Under diagnosis of Wunderlich syndrome, we performed laparoscopic exploration. Although excision of the obstructing cervix has been recommended as the first treatment for this syndrome, we couldn’t perform resection of vaginal wall. So we selected supra-cervical hysterectomy of right uterus. After surgery, her symptoms are quite improved.
Subjects
医学 ( Other)
Languages jpn
Resource Type journal article
Publishers 山口大学医学会
Date Issued 2012-08-01
File Version Version of Record
Access Rights open access
Relations
[ISSN]0513-1731
[NCID]AN00243156
Schools 医学部