RESUMO
OBJECTIVE: To present a case of solitary pelvic kidney with congenital absence of the vagina. METHODS: A patient with solitary pelvic kidney and vaginal aplasia is described. Patient evaluation included hematological, hormonal, cytogenetic, laparoscopic and imaging studies. RESULTS: Blood, hormone and cytogenetic studies were normal. Laparoscopy showed absence of the uterus and both tubes and ovaries, which was confirmed by pneumopyelography. IVP showed absence of renal shadows and a solitary pelvic kidney. CONCLUSIONS: Congenital absence of the vagina should be suspected in a patient with a pelvic solitary kidney consulting for primary amenorrhea.
Assuntos
Anormalidades Múltiplas/diagnóstico , Rim/anormalidades , Vagina/anormalidades , Adulto , Feminino , HumanosRESUMO
OBJECTIVE: To describe a case of crossed testicular ectopia that was diagnosed in a 52-year-old patient who had consulted for infertility associated with a genital anomaly. METHODS: Patient evaluation included hematological, hormonal, cytogenetic and imaging studies. An exploratory operation was also performed. RESULTS: The hematological, hormonal and cytogenetic studies gave normal results. There were no urinary tract abnormalities in the intravenous urography; retrograde urethrography disclosed a narrow duct behind the urethra that ascended towards the left inguinal duct and divided into two epididymides after reaching the scrotum. Surgical exploration showed two testes in the left scrotal pouch that were biopsied. Histological examination revealed an almost complete hyalinization of the tubular wall with no germ cells within the tubules. CONCLUSIONS: Crossed testicular ectopia is one of the most uncommon testicular anomalies and is often associated with other disorders such as inguinal hernia, hypospadias, pseudohermaphroditism and scrotal abnormalities. Like all dysgenetic testes, progression to malignancy is relatively frequent. The foregoing should be remembered when dealing with these patients.
Assuntos
Testículo/anormalidades , Transtornos do Desenvolvimento Sexual/diagnóstico , Ginecomastia/diagnóstico , Humanos , Infertilidade Masculina/diagnóstico , Masculino , Pessoa de Meia-Idade , Oligospermia/diagnósticoRESUMO
OBJECTIVES: A case of bilateral ectopic pelvic kidney is presented whose clinical symptoms were hypogastric pain and cloudy urine. The few cases reported in the world medical literature are briefly reviewed. METHODS: Patient evaluation included intravenous urography, selective right renal arteriography and transoperative left antegrade pyelography. A left nephrectomy was performed. RESULTS: All symptoms disappeared after nephrectomy. CONCLUSIONS: Bilateral ectopic pelvic kidneys are uncommon as shown by the few cases reported in the literature. To our knowledge, the present case is the first case reported in the Spanish literature.