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Non Kominike Sağ Rudimenter Uterin Hornlu Sol Unikornuat Uterus

Sepsis-Induced Acute Renal Failure After Prostate Biopsy Procedure: A Case Report

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DOI: 
http://dx.doi.org/10.5505/abantmedj.2012.74936

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Abstract (2. Language): 
In the early embryonic period, abnormal fusion of the mul-lerian canal or lack of absorption of the septum, results anatomical malformation of the female genital system. These malformations present themselves as obstetric prob-lems such as infertility, habitual abortion, and premature malpresentation. 26 years old, nulligravid, infertile patient had suspected left unicornuate uterus in her hysterosal-pingography report. After laparoscopic and hysteroscopic examination, non-communicant, left uniconuate uterus with right rudimentary horn was founded. The pathology report showed no cavity in the rudimentary horn. (Rudimentary horn without cavity) During the operation, the right rudi-mentary horn and the isolated right distal tube was excised, as a prophylactic manner. Congenital anomalies of Mullerian system are associated with fertility problems. Diagnosis of such anomalies are made firstly by use of hysterosal-pingography (HSG), laparoscopy, hysteroscopy and ultraso-nography (USG). Because of the potential problems, if those anomalies encountered accidentally during a surgical proce-dure; it is recommended to excise the rudimentary horn and the ipsilateral tube prophylactically. In addition, urinary tract anomalies should be investigated which may be accompa-nied.
Abstract (Original Language): 
Erken embriyonik dönemde müllerian kanalın anormal füz-yonu veya septum absorbsiyonunun yetersizliği, kadın geni-tal sisteminin anatomik malformasyonu ile sonuçlanmakta-dır. Bu malformasyonlar infertilite, habitüel abortus, malpre-zentasyon ve prematür eylem gibi obstetrik sorunlarla ken-dini göstermektedir. 26 yaşında nulligravid, infertil hasta kadın hastalıkları ve doğum kliniğimize başvurdu. Histerosal-pingografi raporunda sol unikornuat uterus şüphesi olan hastanın yapılan laparaskopi ve histereskopi işlemi esnasın-da non–kominkan sağ rudimenter hornlu sol unikornuat uterusu olduğu tespit edildi. Patoloji raporu rudimenter hornun kavite içermediğini gösteridi. (Kavitesiz rudimenter horn) Operasyon esnasında sağ rudimenter horn ve izole sağ distal tüp proflaktik olarak eksize edildi. Müllerian sistemin konjenital anomalileri fertilite problemleri ile birliktedir. Bunların tanısında öncelikle histerosalpingografi (HSG), laparoskopi, histereskopi ve ultrasonografi (USG) kullanıl-maktadır. Potansiyel problemler nedeniyle cerrahi bir prose-dür esnasında rastlandığında; rudimenter horn, ipsilateral tubanın profilaktik eksizyonu önerilir. Ayrıca beraberlik gösterebilen üriner sistem anomalileri de araştırılmalıdır.
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REFERENCES

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