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1.
Pediatric Emergency Medicine Journal ; : 32-35, 2016.
Artigo em Coreano | WPRIM | ID: wpr-148714

RESUMO

Herlyn-Werner-Wunderlich (HWW) syndrome is a rare, congenital genitourinary anomaly involving the Müllerian and Wolffian structures, and is characterized by the triad of uterine didelphys, obstructed hemivagina, and ipsilateral renal agenesis. It usually presents in adolescent girls in whom hematometrocolpos produces a pronounced mass effect and pain on the side of the obstructed hemivagina. Accurate diagnosis and surgical treatment can be delayed for several months or even years. Here, we report a case of a 12-year-old girl who presented to the emergency department with lower abdominal pain and mass that had lasted for 2 weeks. After the confirmation of HWW syndrome with magnetic resonance imaging, hysteroscopic septostomy was carried out as a definitive treatment. When we evaluate adolescent girls with lower abdominal pain and mass, we should consider the possibility of HWW syndrome.


Assuntos
Adolescente , Criança , Feminino , Humanos , Dor Abdominal , Diagnóstico , Serviço Hospitalar de Emergência , Hematocolpia , Imageamento por Ressonância Magnética , Ductos Paramesonéfricos , Ductos Mesonéfricos
2.
Korean Journal of Pathology ; : S11-S14, 2011.
Artigo em Inglês | WPRIM | ID: wpr-158736

RESUMO

We report two cases of ectopic epididymal ducts and efferent ductules in the testicular appendices (TAs) of adult men with normally descended testes. In both cases, a sessile TA was incidentally found at the upper pole of the right testis during the scrotal hydrocelectomy. Microscopically, a few closely arranged tubules were detected within the TA. In the first case, the tubules were lined with a pseudostratified columnar epithelium with numerous, long microvilli, and were surrounded by a smooth muscle coat. In contrast, in the second case, the tubules had a wavy luminal surface, because ciliated columnar cells alternated with groups of cuboidal cells. In both cases, strong CD10 immunoreactivity was observed in the luminal border of the lining epithelium. Surgical pathologists should be aware of the presence of both ectopic epididymal ducts and efferent ductules that can occur in TAs, in order to avoid misinterpretation as transected, functional reproductive structures.


Assuntos
Adulto , Feminino , Humanos , Masculino , Coristoma , Epididimo , Epitélio , Microvilosidades , Músculo Liso , Cisto Parovariano , Fenobarbital , Testículo , Ductos Mesonéfricos
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