A rare case of a pelvic mass protest

Document Type : Case report

Authors

1 د

2 س

3 ی

Abstract

Introduction: uretero pelvic junction obstruction (UPJO) is partial or complete obstruction of urine flow that occurs at the site where the ureter enters to the renal pelvis. UPJO occurs in 22-37% of ectopic kidneys. In pelvic ectopic kidney in young adults, UPJO protests with clinical symptoms of intermittent pain in the side or abdomen that may be similar to the symptoms of pelvic mass. The aim of this report is to introduce a rare case of a pelvic mass protest.
Case Report: A 18-year-old virgin woman referred with complain of menstrual irregularities that has performed ultrasound one last year and diagnosed with an ovarian cyst at ultrasound. Early ultrasound reported a cyst with size of about 2 × 12 cm in right ovary that after 3 months consumption of contraceptive pills, a cyst 98 × 95 × 68 mm with possible origin of right adnexal was reported. Due to abdominal pain and large size of cyst, the patient was candidate for laparotomy. The origin of cyst was diagnosed as the renal pelvis. The right kidney was ectopic and contained UPJO. Pyeloplasty was conducted by Anderson Hys method and Double-J Stent was inserted.
Conclusion: In the cases of pelvic mass, it is very important to consider the possible non-gynecologic origin of the mass, especially when there is no possibility of a full gynecological examination because the patient was Virgin. All differential diagnosis of pelvic masses, especially with urologic and gastrointestinal origin should be considered and diagnostic procedures should be performed before the surgery.

Keywords

References

  1. Koff SA, Mutabagani KH. Anomalies of the kidney. In: Adult and Pediatric Urology, 4th ed, Gillenwater JY, Grayhack JT, Howards SS, Mitchell ME, editors. Philadelphia :Lippincott Williams and Wilkins; 2002. p.2129.
  2. Liang CC, Cheng PJ, Lin CJ, Chen HW, Chao AS, Chang SD. Outcome of prenatally diagnosed fetal hydronephrosis. J Reprod Med. 2002; 47(1):27-32.
  3. Sutherland RW, Chung SK, Roth DR, Gonzales ET. Pediatric pyeloplasty: outcome analysis based on patient age and surgical technique. Urology. 1997; 50(6):963-6.
  4. Baek M, Park K, Choi H. Long-term outcomes of dismembered pyeloplasty for midline-crossing giant hydronephrosis caused by ureteropelvic junction obstruction in children. Urology. 2010; 76(6):1463-7.
  5. Cunningham F, Leveno K, Bloom S, Spong CY, Dashe J. Williams Obstetrics. 24th ed. New York:McGraw Hill Professional; 2014.P.215.
  6. Basiri A, Mehrabi S,  Karami H. Laparoscopic flap pyeloplasty in a child with ectopic pelvic kidney. Urology journal. 2010; 7(2): 125-7.
  7. Marte A, Prezioso M, Pintozzi L, Cavaiuolo S, Coppola S, Borrelli M, Parmeggiani P. Laparoscopic treatment of UPJ obstruction in ectopic pelvic kidneys in children. Pediatr Med Chir.. 2011; 34(5): 223-8.
  8. Bjoernsen LP, Lindsay MB. An unusual case of pediatric abdominal pain. CJEM. 2011, 13(2): 133-8.
  9. Novak E. Berek & Novak's gynecology (Vol. 2007, No. 935). Berek JS, editor. Philadelphia:Lippincott Williams & Wilkins.P.468.
  10. Görgen H, Api M, Çetin A. Primary adnexial hydatid cyst mimicking ovarian tumor. J Turk Ger Gynecol Assoc. 2009; 10(4): 232-4.

Files

Share

How to cite

Statistics