scholarly journals A Case of Hydrometrocolpos and Polydactyly

2015 ◽  
Vol 9 ◽  
pp. CMPed.S20787 ◽  
Author(s):  
Deepak Sharma ◽  
Srinivas Murki ◽  
Oleti Tejo Pratap ◽  
G.M. Irfan ◽  
Geeta Kolar

Neonatal hydrometrocolpos (HMC) is a rare Mullerian duct anomaly with an incidence of 0.006%. It occurs due to blockage of the vagina with accumulation of mucus secretions proximal to the obstacle. These secretions are secondary to intrauterine and postnatal stimulation of uterine and cervical glands by maternal estrogens. A triad of congenital HMC, Polydactyly, and cardiac anomalies are the cardinal features of McKusick-Kaufman syndrome, which is also known as hydrometrocolpos-polydactyly syndrome. Bardet-Biedl syndrome is a well-known combination of hypogonadism, obesity, postaxial polydactyly, renal dysplasia, retinal degeneration, and mental impairment. In this case report, we describe a neonate with HMC, Polydactyly, and hydronephrosis.

2021 ◽  
Vol 8 (2) ◽  
pp. 279-281
Author(s):  
Lakshmi Subburaj ◽  
K Rajkumar

Bicornuate uterus is a type of mullerian duct anomaly which is responsible for recurrent spontaneous first trimester abortions. They are best managed surgically using Strassman’s metroplasty. We present a case of recurrent spontaneous abortions which was diagnosed as bicornuate uterus. We performed a laparoscopic metroplasty which was successful and did not encounter complications like adhesions or hemorrhage. The advantages of laparoscopic metroplasty outweighs the challenges in restoring fertility status to women with mullerian duct anomalies.


2014 ◽  
Vol 3 (59) ◽  
pp. 13323-13327
Author(s):  
Sunny Goyal ◽  
Ankur Aggarwal ◽  
Hemant Kumar Mishra ◽  
Tushar Prabha ◽  
Vipin kumar Bakshi

1983 ◽  
Vol 129 (5) ◽  
pp. 1047-1048 ◽  
Author(s):  
Robert C. Flanigan ◽  
Harold M. August ◽  
Byron Young ◽  
Bruce A. Lucas ◽  
J. William Mcroberts

2000 ◽  
Vol 10 (04) ◽  
pp. 265-269 ◽  
Author(s):  
M. Lima ◽  
A. Morabito ◽  
M. Libri ◽  
M. Bertozzi ◽  
M. Dòmini ◽  
...  

2008 ◽  
Vol 3;11 (5;3) ◽  
pp. 333-338
Author(s):  
Asokumar Buvanendran

Background: Failed back surgery syndrome is a common clinical entity for which spinal cord stimulation has been found to be an effective mode of analgesia, but with variable success rates. Objective: To determine if focal stimulation of the dorsal columns with a transverse tripolar lead might achieve deeper penetration of the electrical stimulus into the spinal cord and therefore provide greater analgesia to the back. Design: Case report. Methods: We describe a 42-year-old female with failed back surgery syndrome that had greater back pain than leg pain. The tripolar lead configuration was achieved by placing percutaneously an octapolar lead in the spinal midline followed by 2 adjacent quadripolar leads, advanced to the T7-T10 vertebral bodies. Results: Tripolar stimulation pattern resulted in more than 70% pain relief in this patient during the screening trial, while stimulation of one or 2 electrodes only provided 20% pain relief. After implantation of a permanent tripolar electrode system with a single rechargeable battery, the pain relief was maintained for one year. Conclusion: This is case report describing a case of a patient with chronic low back pain with a diagnosis of failed back surgery syndrome in which transverse tripolar stimulation using an octapolar and 2 quadripolar leads appeared to be beneficial. The transverse tripolar system consists of a central cathode surrounded by anodes, using 3 leads. This arrangement may contribute to maximum dorsal column stimulation with minimal dorsal root stimulation and provide analgesia to the lower back. Key words: Epidural, low back pain, spinal cord stimulation, failed back surgery syndrome, tripolar stimulation


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