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Korean Journal of Obstetrics & Gynecology 2006;49(11):2426-2431.
Published online November 1, 2006.
Magnetic resonance imaging in the evaluation of uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis: a case report.
Min Jeong Kim, Rok Song, Chung Ra Jun, Ji Sun We, Jae Yun Song, Hyun Hee Cho, Soo Ah Im, Mee Ran Kim, Young Taek Lim, Jin Hong Kim
1Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea. mrkim@catholic.ac.kr
2Department of Radiology, College of Medicine, The Catholic University of Korea.
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.
Key Words: Uterine didelphys, Obstructed hemivagina, Ipsilateral renal agensis, MRI


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