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首页> 外文期刊>Journal of minimally invasive gynecology >Uterine preservation and vaginal reconstruction in a patient with congenital vaginal agenesis presenting with cyclic menouria.
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Uterine preservation and vaginal reconstruction in a patient with congenital vaginal agenesis presenting with cyclic menouria.

机译：先天性阴道发育不全伴周期性月经过多的患者的子宫保存和阴道重建。

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摘要

Herein we report the case of a patient with primary amenorrhea and cyclic menouria. The patient was a 20-year-old woman with primary amenorrhea and inability to achieve sexual intercourse. Clinical examination revealed normally developed labia majora and minora, clitoris, and external urethral orifice, but no vaginal opening. A mature female pubic hair pattern was present, and axillary hair development was normal. Breasts were normally developed. Abdominopelvic magnetic resonance imaging demonstrated a remnant upper vagina and unicornuate uterus filled with fluid, and left-sided renal agenesis. Intraoperatively, a congenital vesicouterine fistulous tract was observed. The fistulous tract was completely resected. Vaginal reconstruction using a sigmoid colon pedicled flap was performed. The proximal part of the neovagina was connected to the remnant cervix, and a Foley catheter was left in the uterine cavity for 7 days to prevent obstruction. The patient has been menstruating regularly since the operation. Menouria might be an early sign of congenital vesicouterine fistula. Resection of the fistulous tract with uterine preservation might be considered in patients with vaginal agenesis.
机译：在此，我们报告原发性闭经和周期性月经过多的病例。该患者为一名20岁女性，患有原发性闭经且无法进行性交。临床检查显示正常发展的大阴唇和小阴唇，阴蒂和尿道外口，但没有阴道开口。存在成熟的女性耻骨发型，腋毛发育正常。乳房正常发育。腹部骨盆磁共振成像显示残留的上阴道和充满液体的单角子宫，以及左侧肾脏的发育不全。术中观察到先天性膀胱子宫瘘管。瘘管已完全切除。使用乙状结肠蒂蒂皮瓣进行阴道重建。新阴道的近端与子宫颈相连，将Foley导管留在子宫腔中7天以防止阻塞。自手术以来，患者定期进行月经。痛经可能是先天性膀胱子宫瘘的早期迹象。阴道发育不全的患者可考虑切除瘘管并保留子宫。

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