Resection of Vaginal Septum in Obstructed Hemivagina and Ipsilateral Renal Anomaly: Utility of Three Dimensional Intraoperative Ultrasound  

作　　者：Conway Xu Shannon M. Osborne Jonia Alshiek S. Abbas Shobeiri Rachel K. Casey Conway Xu;Shannon M. Osborne;Jonia Alshiek;S. Abbas Shobeiri;Rachel K. Casey(Department of Obstetrics and Gynecology, Inova Fairfax Hospital, Falls Church, Virginia, USA;Pediatric Specialists of Virginia, Fairfax, Virginia, USA)

机构地区：[1]Department of Obstetrics and Gynecology, Inova Fairfax Hospital, Falls Church, Virginia, USA [2]Pediatric Specialists of Virginia, Fairfax, Virginia, USA

出　　处：《Open Journal of Obstetrics and Gynecology》2021年第4期355-359,共5页妇产科期刊（英文）

摘　　要：<strong>Background:</strong><span style="font-family:Verdana;"> Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA)</span><span style="font-family:""><span style="font-family:Verdana;"> syndrome is a rare congenital condition of the female urogenital tract, presenting intraoperative challenges. We demonstrate the utility of three dimensional intraoperative ultrasound to better delineate anatomy and aid in optimal resection of the vaginal septum. </span><b><span style="font-family:Verdana;">Case:</span></b><span style="font-family:Verdana;"> A 12-year-old female was referred to pediatric and adolescent gynecology for irregular periods and evaluation of her gynecologic organs. Imaging studies confirmed OHVIRA syndrome. She underwent uncomplicated vaginal septum resection, guided by three dimensional intraoperative ultrasound. </span><b><span style="font-family:Verdana;">Summary and Conclusion:</span></b><span style="font-family:Verdana;"> Intraoperative ultrasound can better delineate challenging anatomy. We show that three dimensional intraoperative ultrasound offers significant advantages over traditional two dimensional ultrasound and is a supplement to MRI, which may be helpful in complex anatomical cases like OHVIRA syndrome.</span></span><strong>Background:</strong><span style="font-family:Verdana;"> Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA)</span><span style="font-family:""><span style="font-family:Verdana;"> syndrome is a rare congenital condition of the female urogenital tract, presenting intraoperative challenges. We demonstrate the utility of three dimensional intraoperative ultrasound to better delineate anatomy and aid in optimal resection of the vaginal septum. </span><b><span style="font-family:Verdana;">Case:</span></b><span style="font-family:Verdana;"> A 12-year-old female was referred to pediatric and adolescent gynecology for irregular periods and evaluation of her gynecologic organs. Imaging studies confirmed OHVIRA syndrome. She underwent uncomplicated vaginal septum resection, guided by three dimensional intraoperative ultrasound. </span><b><span style="font-family:Verdana;">Summary and Conclusion:</span></b><span style="font-family:Verdana;"> Intraoperative ultrasound can better delineate challenging anatomy. We show that three dimensional intraoperative ultrasound offers significant advantages over traditional two dimensional ultrasound and is a supplement to MRI, which may be helpful in complex anatomical cases like OHVIRA syndrome.</span></span>

关 键 词：OHVIRA Syndrome 3D Intraoperative Ultrasound 

分 类 号：O17[理学—数学]