Complex genital malformation: ectopic ureter ending in a supposed mesonephric duct in a woman with renal agenesis and ipsilateral blind hemivagina

Acién, Pedro; Susarte, Francisco; Romero, Jesús; Galán, Joaquı́n; Mayol, María-José; Quereda, Francisco; Sánchez-Ferrer, María Luisa

doi:10.1016/j.ejogrb.2004.01.042

Cited by 34 publications

(21 citation statements)

References 14 publications

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“…There is a report of a single case of a patient with a 'megaureter' associated with ipsilateral renal agenesis in a patient with an MDA [18], and a further report of an ectopic ureter in a patient with a complex anomaly inserting into a mesonephric duct remnant [19], which are probably similar to our cases. In a series of 25 patients with MRKH syndrome, 1 patient with hydroureter and hydronephrosis has been reported but the underlying cause of the dilated system is not described [20], and there are 2 reports of dilated ureteric stumps associated with obstructed hemivaginas [21,22].…”

Section: Discussionsupporting

confidence: 87%

Renal and urological abnormalities occurring with Mullerian anomalies

Hall-Craggs

Kirkham

Creighton

2013

Journal of Pediatric Urology

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Section: Discussionsupporting

confidence: 87%

Renal and urological abnormalities occurring with Mullerian anomalies

Hall-Craggs

Kirkham

Creighton

2013

Journal of Pediatric Urology

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“…2,5,[11][12][13][14][15] The classification includes an imperforate hymen, vaginal atresia or transverse vaginal septum, mü llerian agenesis or hypoplasia (Mayer-Rokitansky-Kü ster-Hauser syndrome), and uterovaginal (also called mü llerian) duplications with obstruction (blind hemivagina) or without obstruction (nonobstructive mü llerian duplication). Classically, these malformations are described as the consequence of anomalies of mü llerian Nine patients were managed elsewhere.…”

Section: Discussionmentioning

confidence: 99%

Pitfalls in the Diagnosis and Management of Obstructive Uterovaginal Duplication: A Series of 32 Cases

Capito¹,

Echaïeb²,

Lortat-Jacob³

et al. 2008

Pediatrics

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Obstructive uterovaginal duplication is a benign pathology when properly managed. Therefore, management of abdominal pain in peripubertal girls should include systematic abdominal and gynecologic examinations completed by radiologic pelvic and renal evaluation. Surgical treatment should be performed by vaginal approach to avoid infertility. Concerning the origin of the malformation, the high association of prenatal dysplastic kidneys and postnatal absent kidneys suggests anomalies of both wolffian and müllerian duct development, contrasting with the classic definition of this malformation.

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“…Certainly, cases of ectopic ureter opening into supposed Gartner cysts with ipsilateral renal hypoplasia or dysplasia [189,196], or in hydrocolpos [184], or in duplicated müllerian ducts [198] have been communicated, many times with insufficient surgical solutions or varied embryological interpretations [235][236][237][238]. These ducts, though, could actually be mesonephric remnants into which an atretic ectopic ureter can open [239]. Other cases as those recently published by Dwyer and Rosamilia [5] could be in fact vesico-urethral duplications and not a real ectopic ureter.…”

Section: Physiopathological and Etiopathogenical Deductions From The mentioning

confidence: 99%

Malformations of the Female Genital Tract and Embryological Bases

Acién

2007

CWHR

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Female genital tract malformations are frequently a cause of reproductive problems. Besides, complex malformations also frequently generate serious gynecological problems, often ones with inappropriate surgical solutions, as the gynecologist does not think of the malformation as either the cause of the symptoms or of its embryonary origin. Apart from analyzing the embryological bases in the development of the female genital tract and insisting on the well known müllerian origin of the uterus, the ratification of the embryological hypothesis about the origin of the human vagina from the Wolff ducts and the Müller tubercle allows us to not only advance in knowledge but to use that knowledge for better clinical management of the problems generated by the complex malformations of the female genital tract. In this review we study the methods and means for the diagnosis of female genital-urinary malformations, their classification and clinical findings, and especially those cases involving unilateral renal agenesis, vaginal ectopic ureter and other complex malformations. We also analyze the related obstetric and gynecologic pathology, and especially that cases of complex genital malformations. We review the related literature and some interesting case reports, as well as our experimental studies in rats. After reasserting our hypothesis about the embryology of the human vagina as derived from the Wolff ducts and the Müller tubercle, we suggest different recommendations for a better approach and management of the malformations of the female genital tract according to the findings observed in different diagnostic procedures.

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Complex genital malformation: ectopic ureter ending in a supposed mesonephric duct in a woman with renal agenesis and ipsilateral blind hemivagina

Cited by 34 publications

References 14 publications

Renal and urological abnormalities occurring with Mullerian anomalies

Renal and urological abnormalities occurring with Mullerian anomalies

Pitfalls in the Diagnosis and Management of Obstructive Uterovaginal Duplication: A Series of 32 Cases

Malformations of the Female Genital Tract and Embryological Bases

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