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3-D Ultrasonographic Appearance of Two Intermittent Paraurethral Cysts: A Case Report

机译:两个间歇性尿道旁囊肿的3D超声检查表现:一例报告

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Introduction. In the adult female, a cyst of the Skene's duct is a rare event that may be either the late consequence of a congenital abnormality or the result of a chronic acquired inflammation. Aim. To report a case of bilateral paraurethral Skene's duct cysts. Methods. A young (32 years old), eumenorrheic (menstrual cycle of >25 and <35 days) woman complained of a 6-month intermittent scarce lubrication during intercourse and a sensation of a small intravaginal "extraneous" body. The patient was repeatedly assessed with a detailed history, with a bimanual pelvic examination and with bi- and tridimensional ultrasonographic and color Doppler analyses of the urethrovaginal space. Main Outcomes Measures. Transvaginal two-dimensional ultrasonographic evaluation of internal genitalia, bladder, and urethra and three-dimensional analysis of the paraurethral structures. Results. The evaluation of the structures comprised in the urethrovaginal space evidenced two small (1.7 and 1.1 cm in the maximum diameter) anechoic cysts with some debris in the most declivous part, laterally displaced to the middle/distal urethra. The cysts disappeared after a medical therapy. Conclusions. A sudden reduction of the vaginal lubrication requires a prompt gynecological and ultrasonographic evaluation of the urethrovaginal space.
机译:介绍。在成年女性中,Skene导管的囊肿是罕见的事件,可能是先天性异常的晚期结果或慢性后天性炎症的结果。目标。报告双侧尿道旁Skene管囊肿一例。方法。一位年轻(32岁)的月经不调(月经周期大于25天且小于35天)的妇女抱怨性交时6个月间断性稀少润滑,并感觉到阴道内“外部”小身体。反复评估患者的病史,进行双侧盆腔检查,并对尿道阴道空间进行二维和三维超声检查和彩色多普勒分析。主要结果指标。阴道内生殖器,膀胱和尿道的超声二维超声检查以及尿道旁结构的三维分析。结果。对尿道阴道空间内结构的评估表明,有两个小的(最大直径为1.7和1.1厘米)无回声囊肿,在最下斜部分有一些碎屑,横向移位至中/远端尿道。药物治疗后,囊肿消失了。结论。阴道润滑的突然减少需要对尿道阴道空间进行及时的妇科和超声检查。

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