Слайд 1Congenital defects of female generative organs development.
Lecturer : Antonova G.A.
Assistant of
Chair of Obstetrics and Gynecolgy SSMU
Слайд 2Task № 1.
A girl of 14 years old was brought
авлена
to gynecological department
with complains on repeated cyclic с painsся pains, sensation of heaviness
in low part of abdomen, sometime
problems with urination.
Слайд 4Date of anamnesis of disease:
From 13, 5 years old she
has cyclic, repeated pains in low part of abdomen, sometime nausea, vomiting. No menstruation.
Слайд 5Anamnesis of vitae
She was growing in coordination with age. She had
in the past chronic tonsillitis .
According to mother ‘s telling , she had such problem, as chronic vulvitis and was treated children’s gynecologist. In present time there is no acute stage of disease.
Слайд 6Date of common examination:
Height is158 sm, mass
56kg. Right way
of body buправильного
Built, satisfactory feeding.
Breasts are defeloped.
Слайд 7Date of gynecologic examination:
Hair growing is on female type. Vulva skin
color is pink. There is overloading of hymen.
Р.R. There is a large formation in small pelvis, elastic consistence , on the top of it there is a small hard organ.
Слайд 8Methods of additional examination?
Слайд 9Date of laboratory investigation.
CBA – HG level is 132 gr\l ,
erythrocytes 3 mln 200thousand.
Leucocytes- 6800
Fibrinogen is 4, 5 gr/ lл
Degree of vagina purity is the II ,
Blood group is В( III) third, Rh+( positive)
Normal of urine analysis .
Слайд 10Date of USI:
There is Echo- negative formation in small pelvis.
Слайд 11Provisional diagnosis is :
Atresia of hymen.
Слайд 12Put a differential diagnosis on the base of pictures.
Слайд 13Treatment is :
Dissection of hymen with crest ‘s insision.
Слайд 14What is a an amenorrhea form in this case?
Слайд 15 On which week of intrauterine development the internal female organs
are formated?
Слайд 16Time of formation is
From 6 till 20 weeks. Muller’s
ducts on the 6 week.
From7 -8 weeks – growing and making together of ducts .
There are 2uterine- vaginal cavity in the beginning, separated by fibrous septum Process of reduction is performing from . caudal to cranial end.
Слайд 17Risk group of defects
From women with professional factors, smoker, drinkers, infection
diseases from 8 to 16 weeks, particular virus infections.
Слайд 18Epidemiology
Congenital defects take 4% among all types of defects .
There
is increasing at 10 times quantity of defects
During the last 5 years.
Слайд 201 — атрезия; 2 — аплазия влагалища и матки; 3 —
частичная или полная атрезия влагалища; 4 — удвоение влагалища и матки с частичной или полной аплазией одного из влагалищ.
Слайд 21There are such congenital defects , as:
1. Agenesia
2. Aplasia
3.Hypoplasia
4.Hyperplasia
5.Heterotopy
6.Hetroplasia
7. Ectopy
8.Multyplication
9. Atresia
10.Stenosis . Please, give a conception about every .