6 Cases of Uterus Didelphys Associated with Obstructed Hemivagina and Ipsilateral Renal Agenesis

Yang, K M; Chae, N H; Bae, D H; Lim, J E; Lee, Y A; Kang, O R; Joo, K Y

Abstract

Uterus didelphys is occasionally associated with obstructed hemivagina, and ipsilateral renal agenesis. The specific association was recognized as early as 1992. Since the report,these cases have been reported in the world literature. Medline search revealed, limited number of cases were reported. Early diagnosis is important, to preserve fertility, to prevent pelvic adhesion due to continued retrograde menstruation, hematometra, hematosalpinx and endometriosis which lead to genital organ injury. Common symptom triad with these patients is (1) dysmenorrhea that begins shortly after menarche, (2) increasing severity of dysmenorrhea with each subsequent period, and (3) a unilateral pelvic mass. Early diagnosis and prompt treatment are necessary to prevent genital tract injury, if patients complain above symptoms. The aims of treatment are relief of symptoms and reserve fertility. We report six cases of uterus didelphys associated with an obstructed hemivagina and ipsilateral renal agenesis with a brief review of concerned literatures.