Simultaneous occurrence of hematometrocolpos and consecutive pregnancies in uterine didelphys : a case report.
Hematometrocolpos drained abdominally at laparotomy done, with suspicion of an ovarian torsion in an adolescent with ipsilateral renal agenesis, was eventually rediscovered to have in coexistent uterine didelphys in a 25 year P3+0 at the time repeat caesrean for breech in the event of third parturition, complicated by partum hemorrhage as in all her previous delivery (first vaginal delivery and retained placenta, second caesarean for obstructed labor by non pregnant half of didelphic uterus). This illustrates how simultaneous occurrence of hematometrocolpos can go unnoticed although there was every reason for this condition not to go unrecognized for the simple fact ofhemivaginal obstruction and hematometra with ipsilateral renal agenesis (on the left side) unaffecting the consecutive pregnancy in the other uterus.
Rana
A
A
Department of Obs/Gynae, TU Teaching Hospital, Institute of Medicine, Kathmandu, Nepal. ashmarana@hotmail.com
Gurung
G
G
Manandhar
B
B
Ghimire
R K
RK
D005260:Female; D006399:Hematocolpos / Q000150:complications* / Q000175:diagnosis; D006409:Hematometra / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology*; D014599:Uterus / Q000002:abnormalities*