Concurrent Diagnosis of Renal Calculi, Uterine Fibroids and Ovarian Cysts: A Complex Case Study
DOI:
https://doi.org/10.61427/jcpr.v3.i4.2023.105Keywords:
Renal calculi, Uterine fibroids Ovarian cysts, Concurrent diagnosis, Multidisciplinary managementAbstract
This case report presents a complex clinical scenario in a 41-year-old female patient, highlighting the concurrent diagnosis of renal calculi, uterine fibroids, and ovarian cysts. The patient's medical history reveals a prior diagnosis of renal calculi six months ago, characterized by flank pain and urinary symptoms. More recently, the patient sought medical attention due to abnormal bleeding and discomfort, leading to the discovery of a bulky uterus with fibroids and a left ovarian cyst categorized as O-RADS 2 (benign). Notably, the patient was undergoing hormone replacement therapy for perimenopausal symptoms. While these conditions typically have distinct etiologies and anatomical locations, their simultaneous presence prompts consideration of potential systemic factors or shared risk factors contributing to this multifaceted clinical presentation. The case underscores the importance of comprehensive evaluation and individualized management strategies in patients with multiple concurrent diagnoses, emphasizing the need for multidisciplinary collaboration between urologists and gynecologists to optimize patient care and outcomes. Further investigation may be warranted to explore any potential connections or underlying factors linking these diverse medical conditions.
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Trinh TW, Kennedy AM. Fetal Ovarian Cysts: Review of Imaging Spectrum, Differential Diagnosis, Management, and Outcome. Radio Graphics. 2015 Mar; 35(2): 621-35.
Shimada T, Miura K, Gotoh H, Nakayama D, Masuzaki H. Management of prenatal ovarian cysts. Early Hum Dev. 2008; 84(6): 417-20.
Schmahmann S, Haller JO. Neonatal ovarian cysts: pathogenesis, diagnosis and management. Pediatr Radiol. 1997; 27(2): 101.
Sakala EP, Leon ZA, Rouse GA. Management of antenatally diagnosed fetal ovarian cysts. Obstet Gynecol Surv. 1991; 46(7): 407-14.
Heling KS, Chaoui R, Kirchmair F, Stadie S, Bollmann R. Fetal ovarian cysts: prenatal diagnosis, management and postnatal outcome: Fetal ovarian cyst. Ultrasound Obstet Gynecol. 2002 Jul; 20(1):47-50.
De Haan J, Verheecke M, Amant F. Management of ovarian cysts and cancer in pregnancy. Facts Views Vis Ob Gyn. 2015; 7(1):25.
Alobaid A, Memon A, Alobaid S, Aldakhil L. Laparoscopic management of huge ovarian cysts. Obstet Gynecol Int. 2013; 1-4.
Raiga J, Djafer R, Benoit B, Treisser A. Management of ovarian cysts. J Chir (Paris). 2006; 143(5): 278-84.
Papic JC, Billmire DF, Rescorla FJ, Finnell SME, Leys CM. Management of neonatal ovarian cysts and its effect on ovarian preservation. J Pediatr Surg. 2014; 49(6): 990-4.
MacKenna A, Fabres C, Alam V, Morales V. Clinical management of functional ovarian cysts: A prospective and randomized study. Hum Reprod. 2000; 15(12): 2567-9.
Luzzatto C, Midrio P, Toffolutti T, Suma V. Neonatal ovarian cysts: Management and follow-up. Pediatr Surg Int. 2000 Jan 20; 16(1-2): 56-9.
Knudsen UB, Tabor A, Mosgaard B, Andersen ES, Kjer JJ, Hahn-Pedersen S et al. Management of ovarian cysts: Management of ovarian cysts. Acta Obstet Gynecol Scand. 2004 Nov; 83(11):1012-21.
Galinier P, Carfagna L, Juricic M, Lemasson F, Moscovici J, Guitard J et al. Fetal ovarian cysts management and ovarian prognosis: A report of 82 cases. J Pediatr Surg. 2008; 43(11): 2004-9.
Bryant AE, Laufer MR. Fetal ovarian cysts: Incidence, diagnosis and management. J Reprod Med. 2004; 49(5): 329-37.
Bottomley C, Bourne T. Diagnosis and management of ovarian cyst accidents. Best Pract Res Clin Obstet Gynaecol. 2009; 23(5): 711-24.
Bagolan P, Giorlandino C, Nahom A, Bilancioni E, Trucchi A, Gatti C et al. The management of fetal ovarian cysts. J Pediatr Surg. 2002; 37(1):25-30.
Anagnostis P, Tarlatzis BC, Kauffman RP. Polycystic ovarian syndrome (PCOS): Long-term metabolic consequences. Metabolism. 2018 Sep; 86: 33-43.
Mirza FG, Tahlak MA, Rjeili RB, Hazari K, Ennab F, Hodgman C et al. Polycystic Ovarian Syndrome (PCOS): Does the Challenge End at Conception? Int J Environ Res Public Health. 2022 Nov 12; 19(22):14914.
Norman RJ, Wu R, Stankiewicz MT. 4: Polycystic ovary syndrome. Med J Aust. 2004 Feb 2; 180(3):132-7.
Joham AE, Norman RJ, Stener-Victorin E, Legro RS, Franks S, Moran LJ et al. Polycystic ovary syndrome. Lancet Diabetes Endocrinol. 2022; 10(9): 668-80.
Nandi A, Chen Z, Patel R, Poretsky L. Polycystic ovary syndrome. Endocrinol Metab Clin. 2014; 43(1):123-47.
Goodarzi MO, Dumesic DA, Chazenbalk G, Azziz R. Polycystic ovary syndrome: Etiology, pathogenesis and diagnosis. Nat Rev Endocrinol. 2011; 7(4): 219-31.
Escobar-Morreale HF. Polycystic ovary syndrome: definition, aetiology, diagnosis and treatment. Nat Rev Endocrinol. 2018; 14(5): 270-84.
Azziz R. Polycystic ovary syndrome. Obstet Gynecol. 2018; 132(2): 321-36.
Badawy A, Elnashar A. Treatment options for polycystic ovary syndrome. Int J Womens Health. 2011; 25-35.
Balen A, Michelmore K. What is polycystic ovary syndrome? Are national views important? Hum Reprod. 2002; 17(9): 2219-27.
Ehrmann DA. Polycystic ovary syndrome. N Engl J Med. 2005; 352(12):1223-36.
Dabravolski SA, Nikiforov NG, Eid AH, Nedosugova LV, Starodubova AV, Popkova TV et al. Mitochondrial Dysfunction and Chronic Inflammation in Polycystic Ovary Syndrome. Int J Mol Sci. 2021 Apr 10; 22(8):3923.
Franks S. Polycystic ovary syndrome. N Engl J Med. 1995; 333(13): 853-61.
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