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이혜준 ( Hye Jun Lee ),구승엽 ( Seung Yup Ku ) 대한산부인과학회 2011 Obstetrics & Gynecology Science Vol.54 No.3
This is a comprehensive overview that comprises embryology, diagnosis, classification and treatment of Mullerian duct anomaly. Despite its ill effect on obstetric outcomes, a large number of patients remain undetected. Recently the roles of magnetic resonance imaging and 3D ultrasound in diagnosis are highlighted in addition to conventional ultrasound and hysterosalpingography, etc. Corrective surgery, especially for septate uterus, is proven to have dramatic effects on obstetric prognosis, therefore accurate diagnosis and proper management cannot be overemphasized in Mullerian duct anomaly.
권민수 ( Min Soo Kwon ),최성진 ( Seong Jin Choi ),이상영 ( Sang Young Lee ),한경희 ( Kyoung Hee Han ),정요셉 ( Yo Sep Chong ),조미연 ( Mee Yon Cho ) 대한산부인과학회 2009 Obstetrics & Gynecology Science Vol.52 No.1
Mullerian duct anomalies are reported in literature, but maldevelopment of fallopian tube in isolation is rare. Accessory fallopian tubes can present as infertility, ectopic pregnancy, in association with urinary tract anomalies. We observed a case of tubal pregnancy where fallopian tube has two fimbriae with normal looking uterine and fallopian tube on the opposite side. we report a case of tubal pregnancy with accessory fallopian tube with literature review.
일측성 자궁경부폐쇄와 동측 신장무발생을 동반한 중복자궁에서 복강경 자궁절제술을 시행한
김선영 ( Sun Young Kim ),김지영 ( Ji Young Kim ),이지현 ( Ji Hyun Lee ),김윤환 ( Yun Hwan Kim ),구승엽 ( Seung Yup Ku ),김석현 ( Seok Hyun Kim ),최영민 ( Young Min Choi ),김정구 ( Jung Gu Kim ),문신용 ( Shin Yong Moon ) 대한산부인과학회 2011 Obstetrics & Gynecology Science Vol.54 No.12
Congenital abnormalities of mullerian duct system can result in various urogenital anomalies, including uterus didelphys with unilateral renal agenesis. Cervical atresia is also a rare mullerian abnormality. It usually presents after the menarche with progressive pelvic pain during periods secondary to haematometra. Treatment of congenital cervical atresia remains controversial. We present our experience with treatment by pelviscopic hemihysterectomy with electric morcellator.
Sun Kim,Yeong Seok Lee,Dong Hyun Kim,Aram Yang,Tack Lee,Seun Deuk Hwang,권대규,이지은 대한소아내분비학회 2019 Annals of Pediatirc Endocrinology & Metabolism Vol.24 No.3
Müllerian duct aplasia-renal aplasia-cervicothoracic somite dysplasia (MURCS) association is a unique development disorder with four common types of malformations that include uterine aplasia or hypoplasia, renal ectopy or agenesis, vertebral anomalies, and short stature. The majority of MURCS patients are diagnosed with primary amenorrhea from late-adolescence. However, a few cases with MURCS association are not well diagnosed during childhood and long-term outcomes are not well reported. We report a case of an 8-year-old girl with MURCS association who presented with recurrent urinary tract infections and multiple congenital malformations, and who was followed for 10 years until adulthood. MURCS association should be considered as one of the differential diagnoses when evaluating prepubertal females with vertebral and renal malformations.
비박형 사구체 기저막 질환이 동반된 중복 자궁 일측성 폐쇄질 및 동측 신장 무형성 증후군 ( Herlyn - Werner- Wunderlich syndrome ) 1례
김명수,박용준,박영준,박노혁,송지선,김병길,Kim, Myoung-Soo,Park, Yong-Jun,Park, Young-Jun,Park, Noh-Hyuck,Song, Ji-Sun,Kim, Pyung-Kil 대한소아신장학회 2007 Childhood kidney diseases Vol.11 No.2
HWW(Herlyn-Werner-Wunderlich) 증후군은 중복자궁, 일측성 폐쇄질 및 동측 신장 무형성을 보이는 비뇨생식기계의 선천성 기형으로 매우 드문 질환 중 하나이다. 대부분 초경 이후 발생하는 월경통이나 복강내 종물등으로 발견되지만, 본 증례는 소아에서 반복되는 요로 감염과 현미경적 혈뇨로 인해 진단된 경우이다. 복부 초음파 검사에서 일측 신무형성이나 중복 자궁의 소경이 보일 때는 이러한 뮬러관 기형의 가능성을 염두에 두어야 보다 빠른 진단이 가능하고, 환자의 고통 또한 중여줄 수 있을 것이다. 특히 반복되는 요로 감염시에도 단순한 감염 치료보다 정밀검사를 항상 염두에 두어야 할 것이다. Herlyn-Werner-Wunderlich syndrome(HWWs) is a rare variant of Mullerian ductal anomalies characterized by the presence of a hemivaginal septum, a didelphic uterus, and ipsilateral renal agenesis. It usually presents after menarche with progressive pelvic pain, and palpable mass due to hemihematocolpos. If a cystic mass is detected behind the urinary bladder in children, in association with the absence of a kidney, the diagnosis of uterus didelphys with imperforate vagina and hydrocolpos should be considered. When renal agenesis is found in asymptomatic children, the small size and the tubular shape of the uterus makes it almost impossible to evaluate uterine anomalies, so follow-up should be performed until the end of puberty. Appropriate preoperative diagnosis and treatment will prevent unnecessary procedures and offer relief of symptoms. We report one case of didelphic uterus with blind hemivagina and ipsilateral renal agenesis with biopsy- proven thin glomerular basement membrane disease which is not related to the above syndrome.