Uterine duplicity without communication between both hemiuteri and cervicovaginal atresia: importance of a thorough diagnosis before treatment

Juan Carlos Martínez Escoriza, Juan Carlos Martínez-Escoriza, Ana Palacios-Marqués, A. Palacios, Ana Belén Oliva-García, Oliva-García AB, Ballester-Galiana H, Hortensia Ballester-Galiana
BMJ case reports · 2013 · vol. 2013 , pp. bcr2013200923 · doi:10.1136/bcr-2013-200923 · PMID:24081597 · PMC3794275 · W1992912868
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-12 ⓘ

This case report details the diagnostic and management of a rare uterine anomaly in a 15-year-old, emphasizing imaging techniques for accurate diagnosis and advocating against surgical intervention unless necessary.

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Abstract

The study described diagnostic and therapeutic processes for an exceptional congenital female genital anomaly involving a 15-year-old girl with progressive dysmenorrhoea and intense abdominal pain, and analyses pathogenesis of embryological anomalies associated with uterine duplicity (UD). Diagnostic methodology is analysed; treatment is described; and recommendations are provided. For the study of anomalies such as UD, we recommend the use of an ultrasound, vaginoscopy, MRI and laparoscopy imaging. Keeping in mind that hemihysterectomy should only be performed in cases with endometriosis or other unusual circumstances, surgical treatment should be avoided. A complete study based on gynaecological examination and ultrasound should be performed in adolescents with severe and progressive dysmenorrhoea. Based on the findings, imaging tests such as MRI and, if necessary, laparoscopy coinciding with menstruation, should be conducted before opting for surgical treatment.

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Condition tags

endometriosisdysmenorrhea

MeSH descriptors

Genital Diseases, Female Uterus Vagina Adolescent Cervix Uteri Cervix Uteri Cervix Uteri Diagnosis, Differential Female Follow-Up Studies Genital Diseases, Female Genital Diseases, Female Genital Diseases, Female Gynecologic Surgical Procedures Humans Laparoscopy Magnetic Resonance Imaging Uterus Uterus Vagina

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Cites (1)

References (9)

Source provenance

europepmc
last seen: 2026-08-24T06:08:07.662257+00:00
openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
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License: CC0 · commercial use OK