Septate uterus with double cervices, unilaterally obstructed vaginal septum, and ipsilateral renal agenesis: a rare combination of müllerian and wolffian anomalies complicated by severe endometriosis in an adolescent.
We present a previously unreported combination of müllerian and wolffian anomalies of a septate uterus with double cervices, unilaterally obstructed vaginal septum, and ipsilateral renal agenesis; this constellation of findings may offer clues that could modify classic embryologic explanations. In spite of the young age of our patient (15-years old), a chief complaint of malodorous vaginal discharge, and absence of dysmenorrhea or any other symptoms of endometriosis, laparoscopic examination revealed severe endometriosis with dense adhesions, probably as a result of abundant menstrual regurgitation. Laparoscopic resection of endometriotic lesions, adhesiolysis, and vaginoscopic septotomy were successfully performed while preserving hymenal integrity.
Hur
Jun-Young
JY
Department of Obstetrics and Gynecology, Korea University Medical Center, Seoul, Korea.
Shin
Jung-Ho
JH
Lee
Jae-Kwan
JK
Oh
Min-Jeong
MJ
Saw
Ho-Suk
HS
Park
Yong-Kyun
YK
Lee
Kyu Wan
KW
D000015:Abnormalities, Multiple; D000293:Adolescent; D004715:Endometriosis / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D008650:Mesonephros / Q000002:abnormalities; D009095:Mullerian Ducts / Q000002:abnormalities; D002577:Uterine Cervical Diseases; D014599:Uterus / Q000002:abnormalities*; D019522:Vaginal Discharge / Q000209:etiology / Q000601:surgery*