Korean J Obstet Gynecol.  2006 Nov;49(11):2426-2431.

Magnetic resonance imaging in the evaluation of uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis: a case report

• Kim MJ
• Song R
• Jun CR
• We JS
• Song JY
• Cho HH
• Im SA
• Kim MR
• Lim YT
• Kim JH

Abstract

Uterus didelphys with unilateral obstructed hemivagina is indeed a very rare congenital anomaly. Uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis usually presents after menarche with progressive abdominal pain during menses secondary to hematocolpos. The method of choice for diagnosis is magnetic resonance imaging (MRI). MRI can do much for the early diagnosis and the prevention against further complications of this condition because it can demonstrate the mullerian duct anomaly complicated with obstructed hemivagina in detail and even ipsilateral renal agenesis. A greater awareness of the syndrome of uterus didelphys, obstructed hemivagina, and ipsilateral renal agenesis should lead to its prompt diagnosis, allowing for early and appropriate surgical intervention as well as decreased long-term morbidity. Early accurate diagnosis after menarche followed by excision and marsupialization of the blind hemivagina offers complete relief of symptoms and preserves reproductive potential. We report a case of uterine didelphys with obstructed hemivagina and ipsilateral renal agensis with a brief review of the literature.

Keyword

Uterine didelphys; Obstructed hemivagina; Ipsilateral renal agensis; MRI

MeSH Terms

Abdominal Pain
Diagnosis
Early Diagnosis
Female
Hematocolpos
Magnetic Resonance Imaging*
Menarche
Uterus*