[Uterus duplex with hematometrocolpos and ipsilateral agenesis of the kidney].
BACKGROUND
Malformations of the mullerian-duct-system occur with an incidence of about 0.001-0.005% of the population, and they are frequently associated with unilateral agenesis of the kidney.


METHODS
A 12-year-old girl presented to our emergency department with cyclic abdominal pain which increased with each of her menses. Ultrasound investigation showed a uterus duplex with obstructed hemivagina and hematometrocolpos as well as an ipsilateral absence of the kidney. Additionally, a cystic expansion in the small pelvis was detected which required further investigations (MRT and MR-angiography) to establish the diagnosis of a hematosalpinx. Excision of the vaginal septum resulted in drainage of the hemato-metrocolpos and the hematosalpinx.


CONCLUSIONS
Unilateral hematometrocolpos should be considered as an important differential diagnosis in female adolescents with relapsing lower abdominal pain, even if normal menstruation occurs.
Hanzer
M
M
Abteilung für Allgemeine Pädiatrie, Universitätsklinik für Kinder- und Jugendheilkunde Graz, Osterreich.
Riccabona
M
M
Kerbl
R
R
D015746:Abdominal Pain / Q000209:etiology; D000015:Abnormalities, Multiple / Q000175:diagnosis*; D002648:Child; D003937:Diagnosis, Differential; D004630:Emergencies; D005184:Fallopian Tube Diseases / Q000175:diagnosis; D005260:Female; D006399:Hematocolpos / Q000175:diagnosis* / Q000209:etiology; D006409:Hematometra / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D007668:Kidney / Q000002:abnormalities*; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008598:Menstruation; D014599:Uterus / Q000002:abnormalities*; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery