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Obstet Gynecol Sci > Volume 54(5); 2011 > Article
Korean Journal of Obstetrics & Gynecology 2011;54(5):273-277.
DOI: https://doi.org/10.5468/KJOG.2011.54.5.273    Published online May 1, 2011.
A case of the uterus didelphys with unilateral obstructed hemivagina and ipsilateral renal agenesis.
Eun Jin Jeon, Rae Mi You, Su Kyeong Kwon, Jae Won Yoon, Huk Jae Kang, Sung Hoon Kim, Hee Dong Chae, Chung Hoon Kim, Byung Moon Kang
Department of Obstetrics and Gynecology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. ttadak@hanmail.net
Abstract
Uterus didelphys with unilateral obstructed hemivagina, and ipsilateral renal agenesis is a rare congenital anomaly due to Mullerian duct malformation. The most common clinical manifestation is dysmenorrhea, pelvic pain, vaginal or pelvic mass after menarche. Early diagnosis is important, to preserve fertility, to prevent adhesion due to retrograde menstruation, hematometra, hematosalpinx and endometriosis which lead to distorted pelvic anatomy. These anomalies could be diagnosed with ultrasonography and magnetic resonance imaging. Resection or incision of vaginal septum is adequate treatments to relieve symptoms and reserve fertility. We report a case of uterus didelphys with unilateral obstructed hemivagina and ipsilateral renal agenesis with a brief review of the literature.
Key Words: Uterus didelphys, Obstructed hemivagina, Ipsilateral renal agenesis


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