Korean J Obstet Gynecol.  2011 Dec;54(12):825-829. 10.5468/KJOG.2011.54.12.825.

Pelviscopic hysterectomy for treatment of uterus didelphys with ipsilateral cervical atresia and ipsilateral renal agenesis: A case report

• Kim SY
• Kim JY
• Lee JH
• Kim YH
• Ku SY
• Kim SH
• Choi YM
• Kim JG
• Moon SY

• KMID: 1443951
• DOI: http://doi.org/10.5468/KJOG.2011.54.12.825

Abstract

Congenital abnormalities of mullerian duct system can result in various urogenital anomalies, including uterus didelphys with unilateral renal agenesis. Cervical atresia is also a rare mullerian abnormality. It usually presents after the menarche with progressive pelvic pain during periods secondary to haematometra. Treatment of congenital cervical atresia remains controversial. We present our experience with treatment by pelviscopic hemihysterectomy with electric morcellator.

Keyword

Mullerian duct anomalies; Renal agenesis; Laparoscopic hysterectomy

MeSH Terms

Congenital Abnormalities
Female
Hysterectomy
Kidney
Kidney Diseases
Menarche
Pelvic Pain
Uterus
Congenital Abnormalities
Kidney
Kidney Diseases

Figure

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  Fig. 1 (A) Magnetic resonance image showing left renal agenesis. (B) Magnetic resonance image showing uterine didelphys with left hematometra and hematosalpinx.

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  Fig. 2 Pelviscopic finding of left hydrosalpinx that adhered to sigmoid colon.

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  Fig. 3 Versascopic finding showing single uterine cervix.

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  Fig. 4 Pelviscopic finding of left hematometra.

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  Fig. 5 Pelviscopic finding after operation.

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