Urethral Diverticulum Presenting as a Large Vaginal Mass Complicating Pregnancy and Delivery
BACKGROUND A case report of urethral diverticulum complicating pregnancy is presented. The diagnosis and management are challenging because of the rare nature of this condition, the varied presentations and differential diagnoses, and the possibility of misdiagnosis. CASE REPORT A 25-year-old primig...
Gespeichert in:
Veröffentlicht in: | The American journal of case reports 2017-10, Vol.18, p.1095-1098 |
---|---|
Hauptverfasser: | , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 1098 |
---|---|
container_issue | |
container_start_page | 1095 |
container_title | The American journal of case reports |
container_volume | 18 |
creator | Magann, Everett F Newton, Lisa S Barr, Susan A |
description | BACKGROUND A case report of urethral diverticulum complicating pregnancy is presented. The diagnosis and management are challenging because of the rare nature of this condition, the varied presentations and differential diagnoses, and the possibility of misdiagnosis. CASE REPORT A 25-year-old primigravida with scheduled induction of labor at 39 weeks gestation due to gestational diabetes mellitus presented for a routine antenatal appointment at 38 weeks and four days. On digital cervical examination, she was found to have a large semi-solid anterior vaginal mass, shown by trans-vaginal ultrasound to have a nearly solid appearance of a 5×7 cm mass with septation. Maternal Fetal Medicine and Gynecologic Oncology consultations were obtained primary cesarean section with vaginal biopsy in the Operating Room were recommended. Following an uncomplicated cesarean delivery and with the patient still under spinal anesthesia, the anterior vaginal mass was examined and found to contain 200 ml of purulent material. Because a diagnosis of urethral diverticulum was made, a biopsy was not performed. The patient was placed on antibiotic prophylaxis for the remainder of her hospital course. Follow-up CT scan confirmed a large urethral diverticulum, and she was referred to the Fetal Pelvic Medicine and Reconstructive Surgery (FPMRS) and Urogynecology units for treatment. CONCLUSIONS Early identification of urethral diverticulum during the pregnancy may allow for treatment and a trial of labor with vaginal delivery. MRI is the recommended imaging modality in identifying urethral diverticulum. |
doi_str_mv | 10.12659/AJCR.905578 |
format | Article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5652138</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1951558612</sourcerecordid><originalsourceid>FETCH-LOGICAL-c384t-11570ea19d6e1543551d8be6c862b95416d981b27f482180d848403337733cf3</originalsourceid><addsrcrecordid>eNpVkc1LAzEQxYMoVqo3z5KjB1szySabXIRSv6koop6EkGbTbWQ_arIr9L93bbXUuczA_HjzhofQMZAhUMHV-eh-_DxUhPNU7qADUAkMuKJsd2vuoaMYP0hXgoqUsn3Uo4pQQQQ_QO-vwTXzYAp86b9caLxti7bET8FFVzW-yrGJ2OCJCbnDbyb3VYc-mBjxuC4XhbdmBXV8XpnKLrGpMnzpih-x5SHam5kiuqPf3kcv11cv49vB5PHmbjyaDCyTSTMA4ClxBlQmHPCEcQ6ZnDphpaBTxRMQmZIwpekskRQkyWQiE8IYS1PG7Iz10cVadtFOS5fZznj3kF4EX5qw1LXx-v-m8nOd11-aC06ByU7g9Fcg1J-ti40ufbSuKEzl6jZqUBw4lwJoh56tURvqGIObbc4A0atI9E8keh1Jh59sW9vAfwGwbzwRhog</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1951558612</pqid></control><display><type>article</type><title>Urethral Diverticulum Presenting as a Large Vaginal Mass Complicating Pregnancy and Delivery</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Magann, Everett F ; Newton, Lisa S ; Barr, Susan A</creator><creatorcontrib>Magann, Everett F ; Newton, Lisa S ; Barr, Susan A</creatorcontrib><description>BACKGROUND A case report of urethral diverticulum complicating pregnancy is presented. The diagnosis and management are challenging because of the rare nature of this condition, the varied presentations and differential diagnoses, and the possibility of misdiagnosis. CASE REPORT A 25-year-old primigravida with scheduled induction of labor at 39 weeks gestation due to gestational diabetes mellitus presented for a routine antenatal appointment at 38 weeks and four days. On digital cervical examination, she was found to have a large semi-solid anterior vaginal mass, shown by trans-vaginal ultrasound to have a nearly solid appearance of a 5×7 cm mass with septation. Maternal Fetal Medicine and Gynecologic Oncology consultations were obtained primary cesarean section with vaginal biopsy in the Operating Room were recommended. Following an uncomplicated cesarean delivery and with the patient still under spinal anesthesia, the anterior vaginal mass was examined and found to contain 200 ml of purulent material. Because a diagnosis of urethral diverticulum was made, a biopsy was not performed. The patient was placed on antibiotic prophylaxis for the remainder of her hospital course. Follow-up CT scan confirmed a large urethral diverticulum, and she was referred to the Fetal Pelvic Medicine and Reconstructive Surgery (FPMRS) and Urogynecology units for treatment. CONCLUSIONS Early identification of urethral diverticulum during the pregnancy may allow for treatment and a trial of labor with vaginal delivery. MRI is the recommended imaging modality in identifying urethral diverticulum.</description><identifier>ISSN: 1941-5923</identifier><identifier>EISSN: 1941-5923</identifier><identifier>DOI: 10.12659/AJCR.905578</identifier><identifier>PMID: 29026065</identifier><language>eng</language><publisher>United States: International Scientific Literature, Inc</publisher><subject>Adult ; Cesarean Section ; Diverticulum - diagnostic imaging ; Female ; Humans ; Pregnancy ; Pregnancy Complications - diagnostic imaging ; Uterine Diseases - diagnostic imaging</subject><ispartof>The American journal of case reports, 2017-10, Vol.18, p.1095-1098</ispartof><rights>Am J Case Rep, 2017 2017</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-11570ea19d6e1543551d8be6c862b95416d981b27f482180d848403337733cf3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5652138/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5652138/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29026065$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Magann, Everett F</creatorcontrib><creatorcontrib>Newton, Lisa S</creatorcontrib><creatorcontrib>Barr, Susan A</creatorcontrib><title>Urethral Diverticulum Presenting as a Large Vaginal Mass Complicating Pregnancy and Delivery</title><title>The American journal of case reports</title><addtitle>Am J Case Rep</addtitle><description>BACKGROUND A case report of urethral diverticulum complicating pregnancy is presented. The diagnosis and management are challenging because of the rare nature of this condition, the varied presentations and differential diagnoses, and the possibility of misdiagnosis. CASE REPORT A 25-year-old primigravida with scheduled induction of labor at 39 weeks gestation due to gestational diabetes mellitus presented for a routine antenatal appointment at 38 weeks and four days. On digital cervical examination, she was found to have a large semi-solid anterior vaginal mass, shown by trans-vaginal ultrasound to have a nearly solid appearance of a 5×7 cm mass with septation. Maternal Fetal Medicine and Gynecologic Oncology consultations were obtained primary cesarean section with vaginal biopsy in the Operating Room were recommended. Following an uncomplicated cesarean delivery and with the patient still under spinal anesthesia, the anterior vaginal mass was examined and found to contain 200 ml of purulent material. Because a diagnosis of urethral diverticulum was made, a biopsy was not performed. The patient was placed on antibiotic prophylaxis for the remainder of her hospital course. Follow-up CT scan confirmed a large urethral diverticulum, and she was referred to the Fetal Pelvic Medicine and Reconstructive Surgery (FPMRS) and Urogynecology units for treatment. CONCLUSIONS Early identification of urethral diverticulum during the pregnancy may allow for treatment and a trial of labor with vaginal delivery. MRI is the recommended imaging modality in identifying urethral diverticulum.</description><subject>Adult</subject><subject>Cesarean Section</subject><subject>Diverticulum - diagnostic imaging</subject><subject>Female</subject><subject>Humans</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - diagnostic imaging</subject><subject>Uterine Diseases - diagnostic imaging</subject><issn>1941-5923</issn><issn>1941-5923</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkc1LAzEQxYMoVqo3z5KjB1szySabXIRSv6koop6EkGbTbWQ_arIr9L93bbXUuczA_HjzhofQMZAhUMHV-eh-_DxUhPNU7qADUAkMuKJsd2vuoaMYP0hXgoqUsn3Uo4pQQQQ_QO-vwTXzYAp86b9caLxti7bET8FFVzW-yrGJ2OCJCbnDbyb3VYc-mBjxuC4XhbdmBXV8XpnKLrGpMnzpih-x5SHam5kiuqPf3kcv11cv49vB5PHmbjyaDCyTSTMA4ClxBlQmHPCEcQ6ZnDphpaBTxRMQmZIwpekskRQkyWQiE8IYS1PG7Iz10cVadtFOS5fZznj3kF4EX5qw1LXx-v-m8nOd11-aC06ByU7g9Fcg1J-ti40ufbSuKEzl6jZqUBw4lwJoh56tURvqGIObbc4A0atI9E8keh1Jh59sW9vAfwGwbzwRhog</recordid><startdate>20171013</startdate><enddate>20171013</enddate><creator>Magann, Everett F</creator><creator>Newton, Lisa S</creator><creator>Barr, Susan A</creator><general>International Scientific Literature, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20171013</creationdate><title>Urethral Diverticulum Presenting as a Large Vaginal Mass Complicating Pregnancy and Delivery</title><author>Magann, Everett F ; Newton, Lisa S ; Barr, Susan A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-11570ea19d6e1543551d8be6c862b95416d981b27f482180d848403337733cf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Cesarean Section</topic><topic>Diverticulum - diagnostic imaging</topic><topic>Female</topic><topic>Humans</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - diagnostic imaging</topic><topic>Uterine Diseases - diagnostic imaging</topic><toplevel>online_resources</toplevel><creatorcontrib>Magann, Everett F</creatorcontrib><creatorcontrib>Newton, Lisa S</creatorcontrib><creatorcontrib>Barr, Susan A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The American journal of case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Magann, Everett F</au><au>Newton, Lisa S</au><au>Barr, Susan A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Urethral Diverticulum Presenting as a Large Vaginal Mass Complicating Pregnancy and Delivery</atitle><jtitle>The American journal of case reports</jtitle><addtitle>Am J Case Rep</addtitle><date>2017-10-13</date><risdate>2017</risdate><volume>18</volume><spage>1095</spage><epage>1098</epage><pages>1095-1098</pages><issn>1941-5923</issn><eissn>1941-5923</eissn><abstract>BACKGROUND A case report of urethral diverticulum complicating pregnancy is presented. The diagnosis and management are challenging because of the rare nature of this condition, the varied presentations and differential diagnoses, and the possibility of misdiagnosis. CASE REPORT A 25-year-old primigravida with scheduled induction of labor at 39 weeks gestation due to gestational diabetes mellitus presented for a routine antenatal appointment at 38 weeks and four days. On digital cervical examination, she was found to have a large semi-solid anterior vaginal mass, shown by trans-vaginal ultrasound to have a nearly solid appearance of a 5×7 cm mass with septation. Maternal Fetal Medicine and Gynecologic Oncology consultations were obtained primary cesarean section with vaginal biopsy in the Operating Room were recommended. Following an uncomplicated cesarean delivery and with the patient still under spinal anesthesia, the anterior vaginal mass was examined and found to contain 200 ml of purulent material. Because a diagnosis of urethral diverticulum was made, a biopsy was not performed. The patient was placed on antibiotic prophylaxis for the remainder of her hospital course. Follow-up CT scan confirmed a large urethral diverticulum, and she was referred to the Fetal Pelvic Medicine and Reconstructive Surgery (FPMRS) and Urogynecology units for treatment. CONCLUSIONS Early identification of urethral diverticulum during the pregnancy may allow for treatment and a trial of labor with vaginal delivery. MRI is the recommended imaging modality in identifying urethral diverticulum.</abstract><cop>United States</cop><pub>International Scientific Literature, Inc</pub><pmid>29026065</pmid><doi>10.12659/AJCR.905578</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1941-5923 |
ispartof | The American journal of case reports, 2017-10, Vol.18, p.1095-1098 |
issn | 1941-5923 1941-5923 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5652138 |
source | MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
subjects | Adult Cesarean Section Diverticulum - diagnostic imaging Female Humans Pregnancy Pregnancy Complications - diagnostic imaging Uterine Diseases - diagnostic imaging |
title | Urethral Diverticulum Presenting as a Large Vaginal Mass Complicating Pregnancy and Delivery |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T00%3A01%3A55IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Urethral%20Diverticulum%20Presenting%20as%20a%20Large%20Vaginal%20Mass%20Complicating%20Pregnancy%20and%20Delivery&rft.jtitle=The%20American%20journal%20of%20case%20reports&rft.au=Magann,%20Everett%20F&rft.date=2017-10-13&rft.volume=18&rft.spage=1095&rft.epage=1098&rft.pages=1095-1098&rft.issn=1941-5923&rft.eissn=1941-5923&rft_id=info:doi/10.12659/AJCR.905578&rft_dat=%3Cproquest_pubme%3E1951558612%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1951558612&rft_id=info:pmid/29026065&rfr_iscdi=true |