Dev gartner kanalı kistine bağlı kıvrımlı dilate üreter ve idrar retansiyonu

Year 2024, , 120 - 122, 30.10.2024

Engin Özbay , Ferhat Çetin Mehmet Sertkaya

https://doi.org/10.61845/agrimedical.1461318

Abstract

Gartner kanal kisti (GKK), iyi huylu bir konjenital vajinal kist türüdür. Nadiren kız çocuklarında ve genç kadınlarda görülür. Ürolojik anomaliler de görülebilmektedir ve GKK’ye sekonder edinilmiş üriner sistem hastalıkları iyi tanımlanmamıştır. GKK’nin genellikle 20 mm’den küçük olduğu gözlenir ve asemptomatiktir. Daha büyük GKK, alt üriner sistem şikayetlerine, cinsel işlev bozukluğuna ve bağırsak sorunlarına neden olur. Vajinadan çıkan GKK aynı zamanda vajinal organ sarkması olarak da algılanabilir. Pelvik Manyetik Rezonans Görüntüleme GKK’yi tanımlamak için en iyi radyolojik incelemedir. GKK nedeniyle semptomatik olanlara cerrahi tedavi uygulanır. Standartlaştırılmış bir cerrahi tedavi yöntemi yoktur. Bu çalışmada dev GKK nedeniyle idrar retansiyonu gelişen ve beraberinde sol kıvrımlı dilate üreteri olan 74 yaşında kadın hasta olgusunu sunduk. Hastanın fiziki muayenesi yapıldıktan sonra abdominal ultrasonografive tüm batın bilgisayarlı tomografi uygulandı. Daha sonra sistoskopi, üreterorenoskopi ve vajinal marsupializasyon uygulandı. Dev GKK’ye bağlı kazanılmış ürolojik hastalık yaşlı kadınlarda görülebilmektedir. Vajinal organ prolapsusunu taklit eden dev GKK’ye vajinal marsupializasyon uygulanabilir.

Keywords

Kıvrımlı Dilate Üreter, Yaşlı Kadın, Marsupiyalizasyon, Gartner Kanal Kisti

Tortuosed dilated ureter and urinary retention due to giant Gartner duct cyst

Abstract

Gartner duct cyst (GDC) is a type of benign congenital vaginal cyst. It is rarely seen in girls and young women. It can also be observed in urological anomalies, and acquired urinary system diseases secondary to GDC have not been well defined. GDC is generally observed to be smaller than 2 cm and is asymptomatic. The larger GDC causes lower urinary tract complaints, sexual dysfunction and intestinal problems. GDC coming out of the vagina can also be perceived as vaginal organ prolapse. Pelvic Magnetic Resonance Imagınıng is the best radiological examination to identify GDC. Surgical treatment is applied to symptomatic due to GDC. There is no standardized surgical treatment method. In this study, we presented the case of a 74-year-old female patient who developed urinary retention and left tortuosed dilated ureter due to giant GDC. After the physical examination, abdominal ultrasonographyand whole abdominal computerized tomography were performed to the patient. Then, cystoscopy, üreterorenoscopy and vajinal marsupialization were applied. Acquired urologic disease due to giant GDC can be seen in elderly woman. Vaginal marsupialization can be applied to giant GDC that mimic vaginal organe prolapse.

Keywords

Tortuosed Dilated Ureter, Elderly Woman, Marsupıalızation, Gartner Duct Cyst

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