Obstet Gynecol Sci.  2014 Jul;57(4):310-313. 10.5468/ogs.2014.57.4.310.

Complete septate uterus, obstructed hemivagina, and ipsilateral adnexal and renal agenesis in pregnancy

• Kim MS
• Nam SY
• Lee G

• KMID: 1841543
• DOI: http://doi.org/10.5468/ogs.2014.57.4.310

Abstract

Most cases of double uterus with obstructed hemivagina and ipsilateral renal agenesis were diagnosed at adolescents after menarche. This is the first reported case of complete septate uterus with obstructed hemivagina and ipsilateral renal agenesis in addition to ipsilateral agenesis of fallopian tube and ovary in which the diagnosis was delayed until pregnancy. The pregnancy was uneventful in spite of intermittent vaginal spotting. During the cesarean section, the septum of the uterus was resected and about a 3-cmx3-cm window was made on the vaginal septum to allow an opening for the obstructed vaginal discharge. We followed the patient up for one and half years, and she has not had symptoms such as dysmenorrhea or abnormal vaginal bleeding.

Keyword

Hemivagina; Ovarian agenesis; Pregnancy; Renal agenesis; Septate uterus

MeSH Terms

Adolescent
Cesarean Section
Diagnosis
Dysmenorrhea
Fallopian Tubes
Female
Humans
Menarche
Metrorrhagia
Ovary
Pregnancy*
Uterine Hemorrhage
Uterus*
Vaginal Discharge