Acute Gynaecological Conditions in Adolescents. Challenges with Differential Diagnosis (Case Reports)
https://doi.org/10.31550/1727-2378-2022-21-1-46-53
Abstract
Objective of the Paper: To demonstrate possible challenges with differential diagnosis of adenomyosis and abnormal uterus development in practical paediatric gynaecology.
Key Points. We presented two cases of teenage girls with similar clinical symptoms in various diseases: nodular adenomyosis, which is rare for adolescents, and abnormal uterus development. Despite a full range of clinical and instrumental examinations (MRI, ultrasound examinations), it is only laparoscopy that allowed identifying the cause of pain.
Conclusion. It is advisable to active use minimally invasive surgical procedures in paediatric inpatient units. Clinical recommendations and medical aid procedures for this urgent pathology are required to facilitate decision-making by medical professionals to apply endosurgical methods of therapy.
About the Authors
V. A. Krutova
Kuban State Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
4 Mitrofan Sedin Str., Krasnodar, 350063
I. E. Aslanyan
Kuban State Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
4 Mitrofan Sedin Str., Krasnodar, 350063
A. I. Tulendinova
Kuban State Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
4 Mitrofan Sedin Str., Krasnodar, 350063
N. V. Naumova
Kuban State Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
4 Mitrofan Sedin Str., Krasnodar, 350063
References
1. Mateykovich E.A., Shevlyukova T.P., Kukarskaya E.Yu. et al. Medical errors with assurance of obstetric-gynecological assistance. Modern Problems of Science and Education. 2018; 5. (in Russian). URL: https://science-education.ru/ru/article/view?id=27991 (дата обращения — 02.01.2022).
2. Pavlenko N.I., Pisklakov A.V., Krolevets E.N. Analysis of the work of the Omsk Region in assisting girls and adolescents with the reproductive system pathology for 2016–2019. Pediatric and Adolescent Reproductive Health. 2020; 16(2): 5–10. (in Russian). DOI: 10.33029/1816-2134-2020-16-1-5-10
3. Dyakonova E.Yu., Khrolenko P.V., Bekin A.S. Differential diagnosis of abdominal pain syndrome in girls. Pediatric and Adolescent Reproductive Health. 2021; 17(2): 84–9. (in Russian)
4. Adamyan L.V., Sibirskaya E.V., Sharkov S.M. et al. Features of abdomen in adolescent girls. Features of differential diagnosis. Pediatric Surgery. 2019; 23(2): 86–90. (in Russian)
5. Borisova Z.K., Ryzhova N.K., Garevskaya Yu.A. The disease incidence among adolescent girls connected with reproductive health. Medical Almanac. 2009; 9(4): 111–14. (in Russian)
6. Kurganskaya G.M., Romanova T.A., Shalneva T.V. Dynamics of reproductive health of girls and adolescents in Belgorod region from 2016 to 2018 years. Pediatric and Adolescent Reproductive Health. 2020; 16(1): 26–34. (in Russian). DOI: 10.33029/1816-2134-2020-16-1-26-34
7. Vercellini P., Crosignani Р. Epidemiology of endometriosis. In: Brosen I., Donnez J., eds. The current status of endometriosis. Carnforth, UK; 1993: 111–30.
8. Akhapkina E.S., Batyrova Z.K., Chuprynin V.D. et al. Features of the management of girls with anomalies of the genitourinary system. Gynecology. 2021; 23(3): 245–9. (in Russian)
9. Razumovsky A.Yu., Dronov A.F., Smirnov A.N. Endoscopic surgery in pediatrics. M.: GEOTAR-Media; 2016. 598 p. (in Russian)
10. Yatsyk S.P., Poddubnyi I.V., Glybina T.M. et al. Minimalinvasive tactics and interdisciplinary approach to the treatment of confidential combined urogenital malformations in girls. Pediatric and Adolescent Reproductive Health. 2015; 5: 66–72. (in Russian)
11. Komlichenko E.V., Petrenko E.V., Kokhreidze N.A. et al. Robot-assisted surgery: the history and future perspectives in pediatrics and pediatric gynecology. Obstetrics and Gynaecology of Saint-Petersburg. 2020; 3–4: 14–17. (in Russian)
12. Sokolov Yu.Yu., Nedumov Yu.N., Korovin S.A. et al. Experience in organizing the round-the clock laparoscopic service in a children’s surgical hospital. Russian Academy of Medical Sciences. Bulletin of the National Research Institute of Public Health. 2012; 3: 39–76. (in Russian)
Review
For citations:
Krutova V.A., Aslanyan I.E., Tulendinova A.I., Naumova N.V. Acute Gynaecological Conditions in Adolescents. Challenges with Differential Diagnosis (Case Reports). Title. 2022;21(1):46-53. (In Russ.) https://doi.org/10.31550/1727-2378-2022-21-1-46-53
Views:
7
Email this article 