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タイトル: | Mayer-Rokitansky 症候群の1例 |
その他のタイトル: | A case of Mayer-Rokitansky syndrome |
著者: | 小川, 修 橋本, 京子 谷口, 隆信 中川, 隆 西村, 吉明 |
著者名の別形: | OGAWA, Osamu HASHIMOTO, Kyoko TANIGUCHI, Takanobu NAKAGAWA, Takashi NISHIMURA, Yoshiaki |
キーワード: | Mayer-Rokitansky syndrome Hematocolpos Uterus didelphys Renal agenesis Mullerian embryogenesis |
発行日: | Aug-1988 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 34 |
号: | 8 |
開始ページ: | 1461 |
終了ページ: | 1467 |
抄録: | The Mayer-Rokitansky syndrome has been generally defined as a congenital absence of the vagina in genotypic and phenotypic female subjects with normal endocrine status. Many authors have reported that urological anomalies associate commonly with this syndrome, but recently a new concept of this syndrome was proposed by Tarry and associates. They considered the embryogenesis of the Mullerian system and recognized a spectrum of Mullerian anomalies without total vaginal agenesis as this syndrome. They also proposed a new classification of this syndrome (Mullerian grade) considering grade of Mullerian anomaly. We experienced a 14-year-old girl who had uterus didelphys, left hematocolpos due to ipsilateral vaginal agenesis and agenesis of the left kidney, and herein report this case as Mayer-Rokitansky syndrome. In addition to Tarry's classification, we propose another embryologic classification for Mullerian anomalies considering the period of faulty differentiation in this syndrome: type A-faulty differentiation of the mesonephros (before week 4), type B-faulty differentiation of the mesonephric duct (week 4 to 5), type C- faulty differentiation of the paramesonephric duct only (after week 6). |
URI: | http://hdl.handle.net/2433/119663 |
PubMed ID: | 3195411 |
出現コレクション: | Vol.34 No.8 |
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