Scopus
YÖKSİS Eşleşti
A Suburethral Abscess Mimicking An Anterior Vaginal Wall Prolapse: A Case Report
Genel Tip Dergisi · Aralık 2023
YÖKSİS Kayıtları
Ön Vajinal Duvar Prolapsusunu Taklit Eden Subüretral Abse: Olgu Sunumu
Genel Tıp Dergisi · 2023 TR DİZİN
DOÇENT İSMAİL HARMANKAYA →
Ön Vajinal Duvar Prolapsusunu Taklit Eden Subüretral Abse: Olgu Sunumu
Selcuk University · 2023 TR DİZİN
PROFESÖR ÇETİN ÇELİK →
A Suburethral Abscess Mimicking An Anterior Vaginal Wall Prolapse: A Case Report
genel tıp dergisi · 2023 scholar
PROFESÖR ÇETİN ÇELİK →
Ön Vajinal Duvar Prolapsusunu Taklit Eden Subüretral Abse: Olgu Sunumu
Selcuk University · 2023 TR DİZİN
PROFESÖR MEHMET KULHAN →
Makale Bilgileri
DergiGenel Tip Dergisi
Yayın TarihiAralık 2023
Cilt / Sayfa33 · 806-809
Scopus ID2-s2.0-105009375122
Özet
Introduction: Anterior vaginal wall prolapse (AVWP), previously known as cystocele, is a herniation of the anterior vaginal wall and the bladder. It is a multifactorial pathology. Patients with AVWP may report a feeling of pelvic pressure and something bulging out of the vagina, urinary incontinence, and dyspareunia which are nonspecific symptoms. Case: A 73-year-old married Turkish G4P4 female who had been menopausal for 20 years presented to the outpatient clinic with dysuria and urinary incontinence lasting for two weeks and a palpable mass located in the genital area for two years. On her vaginal examination, the vagina and cervix appeared normal, and a grade 3 AVWP, along with a semi-mobile mass extending from the distal urethra to the bladder base under the cystocele pouch, was observed. She was diagnosed with a grade 3 AVWP with a plan for the surgical excision. A bilobular cystic mass was observed under the urethra, extending to the bladder wall with a size of 4-5 cm. The macroscopic examination showed a membranous tissue piece of 4.5 x 2.8 x 2 cm, and the microscopic examination revealed a caseified granulomatous inflammation. Upon the suspicion of tuberculosis, we referred her to the infectious diseases (ID) clinic. Her PPD test was 0 mm. She had no complaints of active tuberculosis. She presented to our clinic with urinary incontinence. On her vaginal examination, we observed involuntary urine leakage with bladder stimulation. We planned the implantation of transvaginal tape (TVT). Discussion: We believe this case will help establish an idea about the differential diagnosis of AVWP. The differential diagnosis should include the other possible genitourinary pathologies due to the proximity of the anterior vaginal wall to the bladder and the urethra before ensuring the diagnosis of the AVWP in order not to misdiagnose.
Yazarlar (5)
1
Irem Kurt
ORCID: 0000-0003-2279-8706
2
Alican Kaan Unal
ORCID: 0000-0002-5681-4914
3
Mehmet Kulhan
ORCID: 0000-0002-5478-7510
4
Çetin Çelik
ORCID: 0000-0001-6165-5092
5
İsmail Harmankaya
Anahtar Kelimeler
anterior vaginal wall prolapse
caseified granulomatous inflammation
Suburethral abscess
Kurumlar
Selçuk Tip Fakültesi
Konya Turkey