A Case of Uterine Didelphys with Obstructed Hemivagina and Ipsilateral Renal Agenesis

Sung Chul Park, Doojin Lee, Sung Ho Lee, Yoon Ki Park
In: Yeungnam University Journal of Medicine · 2007 · vol. 24(2 Suppl) , pp. S737–741 · doi:10.12701/yujm.2007.24.2s.s737 · W3097317388
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Abstract

Frequency of female genital congenital abnormality is about 0.2%. We suspect female as uterine abnormality with hematocolpos, who after menarche with progressive abdominal pain during menses, in associated with the finding of growing pelvic mass and not visible unilateral kidney at urography. Commonly it was fined with acute lower abdominal pain at puberty. Early diagnosis is very important to treatment and to fertility of patient. The simple and adequate treatment of the condition is incision of the obstructed vaginal septum providing adequate drainage of the retained blood. If diagnosis of this disease is late, it may occur complications of hematocolpos, hematosalphinx, endometriosis and pelvic adhesions by flowing backward of mensturational blood. Also it may cause decreasing fertility and secondary infection. We report a case of uterine didelphys with obstructed hemivagina and ipsilateral renal agenesis with a brief review of the literature. 1)
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