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Korean Journal of Obstetrics & Gynecology 1997;40(7):1489-1495.
Published online January 1, 2001.
3 Cases of Uterus Didelphys with an Obstructed Hemivagina and Ipsilateral Renal Agenesis.
Bae Hoon Lee, Jae Weon Kim, Seong Il Oh, Moon Hong Kim, Noh Hyun Park, Jin Yong Lee, Hyo Pyo Lee
Department of Obstetrics and Gynecology, College of Medicine, Seoul National University, Seoul, Korea.
Abstract
Associated congenital anomalies of both reproductive and urinary tracts are frequent, because wolffian and mullerian developments are closely related. The combination of uterus didelphys, obstructive hemivagina, ana ipsilateral renal agenesis is a rare but specific syndrome. The most common clinical presentation is pelvic pain and/or dysmenorrhea shortly after menarche, in association with the finding of a vaginal or pelvic mass. An accurate and prompt diagnosis is of importance to permit treatment and to assure the future fertility of the patients. The simple and curative treatment of the condition is incision of the obstructing vaginal septum providing adequate drainage of the retained blood. We report three cases of uterus didelphys with an obstructed bemivagina and ipsilateral renal agenesis with a brief review of concerned literatures.
Key Words: Uterus didelphys, Obstructed hemivagina, Renal agenesis


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