Management of uterus didelphys, obstructed hemivagina and ipsilateral renal agenesis. A case report.
BACKGROUND
Uterus didelphys with obstructed hemivagina presents with a pelvic mass often inappropriately approached by laparotomy.


METHODS
An adolescent female was evaluated for dysmenorrhea, a pelvic mass and a double uterus. Transvaginal resection of the oblique vaginal septum was performed, with relief of symptoms and subsequent conception.


CONCLUSIONS
This entity should be considered to prevent misdiagnosis and unnecessary abdominal surgery.
Hinckley
Mary D
MD
Division of Reproductive Endocrinology and Infertility, Department of Gynecology and Obstetrics, Stanford University School of Medicine, 300 Pasteur Drive, HH333, Stanford, CA 94065, USA. ramiehinckley@yahoo.com
Milki
Amin A
AA
D000015:Abnormalities, Multiple / Q000473:pathology* / Q000601:surgery*; D000293:Adolescent; D005260:Female; D006801:Humans; D007668:Kidney / Q000002:abnormalities*; D014599:Uterus / Q000002:abnormalities*; D014621:Vagina / Q000002:abnormalities*