Question:

Which of the following is FALSE regarding genitourinary duplication?
1. Abnormalities of duplication may result in a spectrum of uterine duplication ranging in severity from a septate uterus to a uterus didelphys.
2. Delay in diagnosis until adulthood is common.
3. Complete evaluation of the kidneys is necessary in evaluating patients with suspected genitourinary abnormalities.
4. Fertility may be impacted by genitourinary abnormalities.
5. The ovaries are commonly also involved in genitourinary duplication.





Answer:

The correct answer for the question "Which of the following is FALSE regarding genitourinary duplication?" is:

2. Delay in diagnosis until adulthood is common.



Explanation

The presentation of complete genitourinary duplication in adulthood is exceedingly rare, and to the authors knowledge, there has been only 1 case report of a patient who initially presented in adulthood with complete genitourinary duplication. (Page 5, line 23.)



From the manuscript:
Complete cloacal duplication imaged before and during pregnancy
Radiology Case. 2009 Nov; 3(11):24-28


This article belongs to the OB/GYN section.




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From the manuscript

Complete cloacal duplication imaged before and during pregnancy

Free full text article: Complete cloacal duplication imaged before and during pregnancy

Abstract
The authors describe a 31 year-old female who presented emergently with abdominal pain and was found at CT to have complete genitourinary duplication including separate urinary bladders, uteri, cervices, and vaginas, and also duplication of the rectum. No etiology for abdominal pain was identified. The patient was referred to urology for further evaluation, and an intravenous urographic study was obtained, which confirmed complete lower urinary tract duplication. The patient presented emergently 9 months later during a subsequent pregnancy for further evaluation of abdominal pain. A second CT scan was ordered to rule out appendicitis. Findings consistent with cloacal duplication were again noted. There was also dilatation of the urinary collecting systems, more prominently on the right side. A Cesarean section was performed and confirmed total genitourinary and rectal duplication.






References



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