Hysteroscopic resection of the vaginal septum in uterus didelphys with obstructed hemivagina: a case report.
Uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis is a rare congenital anomaly. Excision of the obstructed vaginal septum is the treatment of choice for symptom relief and the preservation of reproductive capability. A 14-yr-old girl complained of persistent vaginal spotting following each menstruation. Pelvic magnetic resonance imaging revealed a uterus didelphys with left hematocolpos and ipsilateral renal agenesis. Instead of conventional transvaginal excision of the vaginal septum, we used hysteroscopic excision under transabdominal ultrasonographic guidance to preserve the integrity of the hymen. The postoperative course was uneventful, and clinical symptoms were completely resolved after this intervention. Resectoscopic excision of the vaginal septum was found to be easy, safe, effective, and appropriate for young women as it preserved hymen integrity. We believe that this is the first Korean report on the use of a hysteroscopy for vaginal septum resection in a patient with uterus didelphys with obstructed hemivagina.
Kim
Tae Eun
TE
Department of Obstetrics & Gynecology, The Institute of Reproductive Medicine and Population, Medical Research Center, Seoul National University College of Medicine, Seoul, Korea.
Lee
Gyoung Hoon
GH
Choi
Young Min
YM
Jee
Byung Chul
BC
Ku
Seung Yup
SY
Suh
Chang Suk
CS
Kim
Seok Hyun
SH
Kim
Jung Gu
JG
Moon
Shin Yong
SY
D000293:Adolescent; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D007668:Kidney / Q000002:abnormalities; D014463:Ultrasonography; D014564:Urogenital Abnormalities / Q000601:surgery; D014599:Uterus / Q000002:abnormalities*; D014621:Vagina / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*