关键词: Case reports Females Geriatry Labial synechieae Turner syndrome Vaginal reconstruction

来  源:   DOI:10.1016/j.ijscr.2020.03.010   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
BACKGROUND: Turner syndrome (TS) is a chromosomal condition that affects development in females, resulted from a complete or partial absence of the second X chromosome or from structural anomalies (mosaicism) of one X chromosome. TS is one of the most common sex chromosome disorders among live-born female births.
METHODS: We presented with a 63 y.o. Female, who admitted to our Hospital with a chief complaint of pain when urinating and frequent haematuria. She has a history of Turner Syndrome (45 XO). Local examination in the lithotomy position revealed labial agglutination involving the labia majora. We did a Cystoscopy to evaluate the bladder and urethra, and then biopsied the tissues. Vaginal Reconstruction was performed to repair the Labial Synechiae. The biopsy showed that this histological finding is consistent with Follicular Cystitis that could cause by chronic UTIs.
CONCLUSIONS: Labial Synechiae (LS), or Labial agglutination is a disorder of the female genitalia characterized by thin, membranous adherence of the labia. LS usually noted in female with numerous UTIs and vaginal infections. Goel et al confirmed that LS is not a congenital disorder. In a retrospective study, they found out that LS is probably caused by multiple numerous UTIs that may cause a membrane to formed around the labia. The negligence and chronicity of this condition may have thickened the synechiae, making it persist for a long time, and can actually cause a symptom to appear.
CONCLUSIONS: There is no literature to suggest any link between TS and LS directly.
摘要:
背景:特纳综合征(TS)是一种影响女性发育的染色体疾病,由于第二条X染色体完全或部分缺失或一条X染色体的结构异常(镶嵌性)引起。TS是活产女性中最常见的性染色体疾病之一。
方法:我们提出了63岁的女性,他因排尿时疼痛和频繁血尿而入院。她有特纳综合症(45XO)的病史。截石位的局部检查显示阴唇凝集涉及大阴唇。我们做了膀胱镜检查来评估膀胱和尿道,然后对组织进行活检。进行阴道重建以修复唇腺。活检显示,这种组织学发现与可能由慢性UTI引起的滤泡性膀胱炎一致。
结论:唇缘(LS),或唇性凝集是女性生殖器的一种疾病,阴唇的膜质粘附。LS通常见于有许多UTI和阴道感染的女性。Goel等人证实LS不是先天性疾病。在一项回顾性研究中,他们发现LS可能是由多个UTI引起的,这些UTI可能导致在阴唇周围形成膜。这种情况的疏忽和慢性可能会加重粘连,使它持续很长时间,实际上会导致症状出现。
结论:没有文献表明TS和LS之间有任何直接联系。
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