Obstructed hemi-vagina and ipsilateral renal anomaly syndrome in Vietnam: an overview from clinical diagnosis approach to management: a case report
Bibliographic record
Abstract
BACKGROUND: Obstructed hemi-vagina and ipsilateral renal anomaly syndrome is a rare congenital condition, which is described in a combination of uterus didelphys and obstructed hemi-vagina with ipsilateral renal agenesis. Until now, the diagnosis of this anomaly is challenging as there are diverse symptoms depending on pre-puberty and post-puberty age onset. Early diagnosis of this syndrome allows for improvement of quality of life and prevents fertility-related complications. CASE REPORT: We present the case of a 13-year-old Vietnamese girl who was admitted to the emergency department with colicky lower abdominal pain and a tender cystic mass in the left vaginal wall. Her menarche started 6 months ago, and she had an experience of progressive menstruation-related pain. The ultrasound and magnetic resonance imaging identified presence of uterus didelphys, an absence of left kidney associated with a menstrual-blood-retained mass from the uterus cavity to the left side of vagina (hematocolpos). The patient underwent a vaginal excision to drain blood-containing mass and was discharged from hospital 5 days after the operation. The patient and her parents have been provided with a detailed follow-up plan to prevent the complications of renal failure and infertility. CONCLUSION: The possibility of obstructed hemi-vagina and ipsilateral renal anomaly syndrome should be considered in both pre-puberty and post-puberty girls who present with acute lower abdominal pain. Ultrasound plays a crucial role in making an early diagnosis of this condition, while magnetic resonance imaging allows for classification and prediction of fertility capacity. Vaginal excision is a minimally invasive procedure to relieve the pain and prevent the adverse effects.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".