Vaginal foreign bodies are commonly seen in children. The most common objects are toilet tissue, tampons, and sexual devices. Sexual abuse should be ruled out, particularly in paediatric patients who present with vaginal bleeding.
A Gartner’s duct cyst forms when the Wolffian duct does not fully involute. It is usually asymptomatic, commonly being discovered incidentally on a transvaginal ultrasound. It is located on the anterolateral wall of the proximal vagina. Other cystic anomalies in the female…
Atrophic vaginitis is the thinning of the vaginal epithelium due to decreased oestrogen levels. It is very common in post-menopausal women. It can also occur in functionally post-menopausal women, i.e., following a bilateral salpingo-ophorectomy.
Types of vaginal septa Septum Description Transverse vaginal septum This is due to incomplete fusion of the mullerian duct and urogenital sinus. It presents as primary amenorrhea (”cryptomenorrhea”) due to uterine outflow obstruction – cyclical lower abdominal pain, amenorrhea, central pelvic mass…
Bartholin gland carcinoma is a rare type of adenocarcinoma.
A bartholin gland cyst forms when the bartholin duct is obstructed. It is associated with chronic inflammation of the duct, which leads to cystic dilation. The bartholin’s glands are paired sets of glands found roughly at the 4 and 8 o’clock…
Autosomal dominant polycystic kidney disease is characterised by renal cysts, hepatic cysts, intracranial aneurysms and aortic root dilatation. It is the most common inherited disorder of the kidneys. It peaks between the ages of 30 and 40, and affects men and women…
Nephrotoxins are substances that damage the kidney tubules directly or indirectly. Indirect damage may be due to interstitial nephritis. Examples of nephrotoxins Category Examples Nota bene Analgesics NSAIDS, aspirin and paracetamol This is often silent until advanced CKD Antibiotics Aminoglycosides,…
Tubulointerstitial nephritis is inflammation of the tubules and interstitial spaces. Drug-induced interstitial nephritis is the most important cause. It can occur at any age and may develop even after prolonged exposure. Its incidence peaks between the years 60 and 70. Classification Classification…
Focal segmental glomerulosclerosis is a nephrotic syndrome that is characterised by abnormal scarring (sclerosis) of some glomeruli (focal nature). The sclerosis affects only parts of the glomerulus (segmental nature). It peaks between ages 20 and 30, and affects men more…