Uterus didelphys with obstructed hemivagina with chronic presentation: a case report

Monika Anant, Bibekanand Das, Avishek Bhadra, Joydev Mukherji
In: International Journal of Research in Medical Sciences · 2017 · vol. 5(6) , pp. 2809 · doi:10.18203/2320-6012.ijrms20172493 · W2618306259
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This case report details a 24-year-old patient with uterus didelphys and obstructed hemivagina, presenting with progressive dysmenorrhea and urinary/bowel symptoms, successfully treated with transvaginal septoplasty and drainage.

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This paper is a 24-year-old case report describing uterus didelphys with an obstructed hemivagina, presenting with progressive dysmenorrhea, abdominal pain after menarche, cyclic difficulty in urination, and constipation, with a paravaginal tumor noted. Diagnosis was made using clinical examination and ultrasonography, and the report emphasizes the rarity of this congenital anomaly (including associated renal agenesis). The patient underwent successful transvaginal septoplasty with drainage of hematocolpos and hematometra, and the authors state this approach as the appropriate treatment for such cases, with the main limitation being that evidence is based on a single case rather than a study population. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

This is a case report of a 24-year patient who had uterus didelphys with obstructed hemivagina. Clinical manifestations of this case were of progressive dysmenorrhea, abdominal pain after menarche, cyclic difficulty in urination and constipation, with the existing paravaginal tumor indicated this rare anomaly. The diagnosis was by clinical examination and ultrasonography. The patient underwent successful transvaginal septoplasty and drainage of the hematocolpos and hematometra, which is the appropriate mode of treatment in such cases.
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Uterus didelphys with obstructed hemivagina with chronic presentation: a case report DOI: https://doi.org/10.18203/2320-6012.ijrms20172493Keywords: Clinical picture, Obstructed hemivagina Renal agenesis, Uterus didelphysAbstract This is a case report of a 24-year patient who had uterus didelphys with obstructed hemivagina. Clinical manifestations of this case were of progressive dysmenorrhea, abdominal pain after menarche, cyclic difficulty in urination and constipation, with the existing paravaginal tumor indicated this rare anomaly. The diagnosis was by clinical examination and ultrasonography. The patient underwent successful transvaginal septoplasty and drainage of the hematocolpos and hematometra, which is the appropriate mode of treatment in such cases. Metrics References Arias PM, Vellibre MR, Sanchez MM, Castelo VJL, Gonzalez AM, Costa RA. Uterus didelphyswith obstructed hemivagina and multicystic dysplastic kidney. Eur J Pediatr Surg. 2005;15(6):441-5. Broseta E, Oronat FB, Ruiz JL, Alonso M, JM Osca, Jimenez-Cruz JF. A case report and review of the literature, urological complication associated to uterus didelphys with unilateral haematocolpos. Eur Urol. 991;20(1):85-8. Mushayandebru TI, Gerson W. Case report: uterus didelphys with obstructed hemivagina and ipsilateral renalagenesis: Ultrasound and Magnetic Resonance Imaging diagnosis. Gynecol Obstet Invest 1997;43(3):209-11. Orazi C, Lucchetti MC, Schingo PM Marchetti P, Ferro F. Herlyn-Werner-Wunderlich syndrome: uterus didelphys, blind hemivagina and ipsilateral renal agenesis. Sonographic and MR findings in 11 cases. Pediatr Radiol 2007;37(7):657-65. Smith N, Laufer M. Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome: management and follow- up. Fertil Steril. 2007;87(4):918-22. Sheih CP1, Liao YJ, Liang WW, Lu WT. Sonographic presentation of unilateral hematometra: Report of two cases. J Ultrasound Med. 1995;14(9):695-7. Rock JA, Jones HW. The double uterus associated with an obstructed hemivagina and ipsilateral renal agenesis. Am J Obstet Gynecol. 1988;138(3):339-42. Haddad B, Barranger E, Paniel B. Blind hemivagina : long-term follow-up and reproductive performance in 42cases. Hum Reprod. 1999;14(8):1962-7. Kleinman JT, Chen B. Trouble Voiding in an Adolescent Girl Obstetrics and gynecology. Obstet Gynecol. 2012;120(4):944-7. Candiani GB, Fedele L, Candiani M. Double uterus, blind hemivagina, and ipsilateral renal agenesis: 36 cases and long-term follow-up. Obstet Gynecol. 1997;90(1):26-32. Sanfilippo JS, Wakim NG, Schikler KN, Yussman MA. Endometriosis in association with uterine anomaly. Am J Obstet Gynecol. 1986;154(1):39-43.

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