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  • ISSN[Online] : 2643-9875  ||  ISSN[Print] : 2643-9840

VOLUME 04 ISSUE 04 APRIL 2021

Acute Kidney Injury After Sigmoid Vaginoplasty Procedure In Mullerian Duct Anomalies: A Case Report
1Rizkha Adistyatama, 2 Nuring Pangastuti,
1,2Department of Obstetrics and Gynaecology, Dr. Sardjito Hospital-Faculty of Medicine, Universitas Gadjah Mada, Indonesia 1 Kesehatan Street, Sekip, Sinduadi, Mlati, Kabupaten Sleman, Daerah Istimewa Yogyakarta 55284, Indonesia
DOI : https://doi.org/10.47191/ijmra/v4-i4-15

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ABSTRACT:

Background:

Development of female genital tract is a complex process and dependent upon a series of events involving cellular differentiation, migration, fusion, and canalization. Mullerian Duct Anomalies (MDA) are uncommon congenital anomalies, but can vary widely and treatable with surgical procedure. Classification system that have been used are classification from American Society for Reproductive Medicine (ASRM) and European Society of Human Reproduction and Embriology (ESHRE) and European Society for Gynaecological Endoscopy (ESGE). Surgical procedure in MDA patient had a high successful rate, but postoperative complication can arise in form of the need for further surgical requirement and acute kidney injury.

Case report:

A 20 year old girl admitted to obstetric gynecologic clinic with complaints of abdominal pain, amenorrhea, and redness voiding. She experienced abdominal pain since 6 years ago. Previously, patient had history of vaginal drainage procedure when she was 14 years old but she did not felt improvement in complaint and symptom. Cystoscopy and radiology imaging showed vaginal agenesis and renal dekstra agenesis, subsequently patient was planned for a sigmoid vaginoplasty procedure. Identification and exploration during surgery revealed vaginal agenesis, renal dekstra agenesis, hematometra from hemiuterus dekstra, hemiuterus sinistra with asesorius or hipoplasia uterine and hematosalping dekstra. In 5 days post operative, patient suffer anuria and acute kidney injury complication. Acute kidney injury after major surgery involving gastrointestinal was common because of surgical stress response, and agenesis renal condition aggravates this complication.

KEYWORDS

Mullerian Duct Anomalies, Anuria, Acute kidney injury, Sigmoid Vaginoplasty

REFERENCES

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VOLUME 04 ISSUE 04 APRIL 2021

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