Acute renal failure associated with ureteral stone of the unilateral kidney and uterus didelphys with hemivaginal obstruction.

Ryu, Ae Li; Kim, Yun Sook; Mun, Seong Taek; Jeon, Seob; Choi, Seung Do; Sunwoo, Jae Gun; Bae, Dong Han

Case Report

Korean Journal of Obstetrics & Gynecology 2009;52(2):261-265.
Published online February 1, 2009.

Acute renal failure associated with ureteral stone of the unilateral kidney and uterus didelphys with hemivaginal obstruction.

Ae Li Ryu, Yun Sook Kim, Seong Taek Mun, Seob Jeon, Seung Do Choi, Jae Gun Sunwoo, Dong Han Bae

Department of Obstetrics and Gynecology, University of Soonchunhyang, College of Medicine, Soonchunhyang University Chunan Hospital, Chunan, Korea. drsook@schch.co.kr

Abstract

The unique clinical syndrome of the uterus didelphys, a unilateral partially or completely obstructed vagina, and ipsilateral renal agenesis is quite rare, and observed on the right side in greater frequency than on the left. The case of fifteen year old girl with uterus didelphys, unilateral partially obstructed vagina and acute renal failure associated with ureteral stone in unilateral kidney is described. Extracorporealshock wave lithotripsy (ESWL) and evacuation of the hematocolpos and excision of the vaginal septum were done. Aware of this relatively rare condition is mainstay of prompt diagnosis which will prevent permanent renal failure and unnecessary and destructive surgery.

Key Words: Ureteral stone, Unilateral kidney, Uterus didelphys, Unilateral vaginal obstruction