Ovarios Poliquisticos & Quistes Naboth
Paciente femenina de 20 años de edad, menarquia a los 13 años , primera relación sexual a los 17 años de edad. Gesta 1 Aborto no provocado 1 ( Hace 8 meses ). Viene por amenorrea secundaria de 8,4 semanas. Al examen eco-sonografico vía transvaginal , a despecho de útero normal, se aprecia la presencia de múltiples imágenes an-ecogena, de contenido liquido, quisticas, alineadas alrededor del canal cervical , suman unas cuatro imágenes ( ver Quistes Naboth en la imagen ).
Ambos ovarios muestran imágenes de folículos inmaduros, mas de diez en cada ovario, que se distribuyen mayormente de modo periférico , en forma de collar de perlas. Los ovarios lucen aumentados de tamaño, el derecho mide 5,1 x 3,6 x 3,1 cms y el izquierdo 4,8 x 2,3 x 2,5 cms.
Debido a este diagnostico ponemos en duda lo del supuesto embarazo-aborto ya que la poliquistosis ovárica suele ir acompañada de infertilidad primaria por ciclos sin ovulaciones. Nos llama la atención la presencia de quistes de Naboth a tan temprana edad ya que solemos verlos a edades mas tardías y en pacientes con historia de varios partos, aunque esto no necesariamente va ligado.
A female patient aged 20 years, menarche at 13 years, first intercourse at 17 years of age. Gesta 1 Abortion unprovoked 1 (8 months ago). Comes secondary amenorrhea of 8.4 weeks. At the eco-sonographic examination, despite normal uterus, shows the presence of multiple images, an-echogenic, containing liquid, cystic, lined up around the cervical canal, adds about four images (see Naboth cysts in the picture).
Both ovaries show images of immature follicles, more than ten in each ovary, which is distributed mostly peripherally, like a necklace of pearls. The ovaries look enlarged, the right measures 5.1 x 3.6 x 3.1 cm and left 4.8 x 2.3 x 2.5 cm.
Because of this diagnosis, we question what the alleged pregnancy, abortion, and polycystic ovary disease is often associated with primary infertility for cycles without ovulation. We call attention to the presence of cysts Naboth so early and we usually see them at a later age and in patients with a history of multiple births, although this is not necessarily linked.
Polycystic Ovarian & Naboth Cysts
A female patient aged 20 years, menarche at 13 years, first intercourse at 17 years of age. Gesta 1 Abortion unprovoked 1 (8 months ago). Comes secondary amenorrhea of 8.4 weeks. At the eco-sonographic examination, despite normal uterus, shows the presence of multiple images, an-echogenic, containing liquid, cystic, lined up around the cervical canal, adds about four images (see Naboth cysts in the picture).
Both ovaries show images of immature follicles, more than ten in each ovary, which is distributed mostly peripherally, like a necklace of pearls. The ovaries look enlarged, the right measures 5.1 x 3.6 x 3.1 cm and left 4.8 x 2.3 x 2.5 cm.
Because of this diagnosis, we question what the alleged pregnancy, abortion, and polycystic ovary disease is often associated with primary infertility for cycles without ovulation. We call attention to the presence of cysts Naboth so early and we usually see them at a later age and in patients with a history of multiple births, although this is not necessarily linked.
