Complete septate uterus, obstructed hemivagina, and ipsilateral renal anomaly: pregnancy course complicated by a rare urogenital anomaly.
BACKGROUND
Abnormalities of the female reproductive tract are associated with a multitude of intrapartum complications. In the case that follows, we report the complicated pregnancy course of a woman diagnosed postpartum with the uncommon syndrome of obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) associated with a complete septate uterus.


METHODS
A 19-year-old nulliparous woman with a history of a right nephrectomy secondary to multicystic dysplastic kidney disease presented with premature rupture of membranes at 30 weeks' gestation. After failed induction of labor at 34 weeks' gestation, a uterine anomaly was discovered at the time of cesarean section. Magnetic resonance imaging performed postpartum revealed a complete septate uterus, longitudinal vaginal septum, and obstructed right hemivagina.


CONCLUSIONS
The OHVIRA syndrome is classically associated with uterus didelphys, not complete septate uterus as in this woman. This case illustrates the potential for intrapartum complications in women with abnormalities of the urogenital tract.
Shavell
Valerie I
VI
Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Wayne State University School of Medicine, Detroit, MI 48201, USA. vshavell@med.wayne.edu
Montgomery
Samantha E
SE
Johnson
Samuel C
SC
Diamond
Michael P
MP
Berman
Jay M
JM
D002585:Cesarean Section; D005260:Female; D006801:Humans; D007668:Kidney / Q000002:abnormalities*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology*; D014564:Urogenital Abnormalities / Q000150:complications / Q000175:diagnosis*; D014599:Uterus / Q000002:abnormalities*; D014621:Vagina / Q000002:abnormalities*; D055815:Young Adult