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| Ultrasonographic Diagnosis of a Uterine Fusion Anomaly
Associated with Neonates with Unilateral, Ectopic,
Multicystic, Dysplastic Kidney |
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| Byoung Hee Han, MD Kyung Sang Lee, MD, Mi Jin Song, MD, Min Hwan Moon, MD, Young-Ho Lee, MD |
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| Department of Radiology, Kwandong University College of Medicine, Cheil General Hospital
& Women’s Healthcare Center |
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| Purpose: The purpose of this paper is to reinforce the necessity of careful ultrasonographic
evaluation of the uterus to detect uterine fusion anomaly in female
neonates who were detected as having a unilateral, ectopic, multicystic, dysplastic
kidney (MCDK) on fetal US.
Materials and Methods: We detected eight unilateral ectopic MCDK on fetal US of
second trimester and neonatal ultrasonography between October 2003 and February
2009; neonatal US were taken at 2 to 10 days after birth for the initial evaluation of
MCDK. Uterine fusion anomaly, vaginal obstruction and other associated urogenital
anomalies were evaluated by neonatal US.
Results: Four of eight female neonates with unilateral ectopic MCDK showed a
double uterus on neonatal US. They all showed hemivaginal fluid collection.
Obstruction of the hemivagina and vaginal septum were depicted in two cases. A
perivaginal cyst was seen in three cases, and in two cases the cyst was connected
with the vaginal cavity. An ipsilateral perivaginal tubular structure was seen in one
case, which was indicative of a ureteral remnant. There was no associated anomaly in
the contralateral kidney except for a tiny cortical cyst in one case.
Conclusion: The careful ultrasonographic evaluation of the uterus is important in
female neonates who showed the ectopic MCDK on fetal US. In addition, it may help
to detect the fusion anomaly that is otherwise difficult to detect on fetal US and to
devise a treatment plan to prevent upcoming complications. |
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| Keyword : Newborn, genitourinary system; Uterus, anomaly; |
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pdf파일 : 261-264한병희.pdf 
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> Journal > Journal Search 
Journal of Korean Society of Ultrasound in Medicine 2010 ; 29 (4) : p.261-264
