Female genital tract congenital anomalies – development defects of Müllerian ducts and  their derivatives – ultrasound diagnosis in pediatric and adolescent gynecology

Czech version

Authors: D. Smetanová
Authors‘ workplace: GENNET, s. r. o., Praha
Published in: Čes-slov Pediat 2020; 75 (3): 137-141.
Category:

Overview

Mullerian anomalies occur on the basis of faulted organogenesis, fusion and resorption of Mullerian ducts. Prevalence of these anomalies is stated in a wide range. This data varies between different authors but can also be inconsistent in individual publications of one author. These may oftentimes be connected to other anomalies, in particular kidney anomalies, therefore it is important to take that into account during the examination.

In the pediatric and adolescent population are these anomalies predominantly diagnosed incidentally, during an unrelated examination. On the contrary, in pubescent patients, evaluated due to primary amenorhoe or cyclic increasing stomach pain, we have to seek out for them.

Ultrasound examinations belong among the first-choice screening methods. However, even the ultrasound examinations have certain limitations. MRI is becoming the screening reference standard. The examination of pediatric and adolescent patients should be approached with the intent to minimize trauma for the patient. Surgical treatment is adapted to the specific anomaly and may differ in particular groups.

Keywords:

ultrasound – Mullerian duct anomalies – MRI

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