Korean J Obstet Gynecol.  1997 Jul;40(7):1489-1495.

3 Cases of Uterus Didelphys with an Obstructed Hemivagina and Ipsilateral Renal Agenesis

• Lee BH
• Kim JW
• Oh SI
• Kim MH
• Park NH
• Lee JY
• Lee HP

Abstract

Associated congenital anomalies of both reproductive and urinary tracts are frequent, because wolffian and mullerian developments are closely related. The combination of uterus didelphys, obstructive hemivagina, ana ipsilateral renal agenesis is a rare but specific syndrome. The most common clinical presentation is pelvic pain and/or dysmenorrhea shortly after menarche, in association with the finding of a vaginal or pelvic mass. An accurate and prompt diagnosis is of importance to permit treatment and to assure the future fertility of the patients. The simple and curative treatment of the condition is incision of the obstructing vaginal septum providing adequate drainage of the retained blood. We report three cases of uterus didelphys with an obstructed bemivagina and ipsilateral renal agenesis with a brief review of concerned literatures.

Keyword

Uterus didelphys; Obstructed hemivagina; Renal agenesis

MeSH Terms

Diagnosis
Drainage
Dysmenorrhea
Female
Fertility
Humans
Menarche
Pelvic Pain
Urinary Tract
Uterus*