The case number 506 of Mostyn Embrey Syndrome: Imaging Studies and Ethics of Naming Syndromes

Background: Mostyn Embrey syndrome is a rare disorder associated with unilateral renal agenesis and malformations of the female reproductive tract. Delayed diagnosis serious diagnostic difficulties that may lead to inappropriate management including harmful surgery. The aim this paper present imaging studies case number 506 which was first in Iraq, originally reported 2016. Ethics naming syndromes relevant discussed. Patients methods: An 18-year-old presented acute abdominal pain poor urine output retention urine; about three years after onset menses. radiating back pelvis. Her menstrual cycles started at age fifteen, were lasting seven days. Cycles normal flow. physician patient consulted considered uterine tumor need for hysterectomy, but family consultedanother physician. Vaginal exam performed showed bulging left vaginal wall. hematocolpos made. A clotted blood drained by trans- approach. Results: It difficult identify two separate uteri cervices make didelphys uterus on hysterosalpingography. Abdominal MRI agenesis, bodies, cervices, vaginas myometrium endometrium (uterine didelphys), ovaries. Conclusions: recommended pediatricians, pediatric nephrologists be aware avoid unexpected presentations delayed sometimes management. modalities can used diagnose include ultrasonography, hysterosal pingography MRI. In case, not much help. Ultrasound affordable, non-invasive, widely available modality contributes accurate syndrome. However, there visualizing septum ultrasound best shown facilitate early thus help prevention further complications. Syndromes medicine are often named or group physicians discovered them initially provided full clinical picture description Unfortunately, has been attributed unfairly inappropriately other those described almost all previous papers.