AQUEOUS VAGINAL CONTRAST AND SCHEDULED HEMATOCOLPOS WITH MAGNETIC RESONANCE IMAGING TO DELINEATE COMPLEX MÜLLERIAN ANOMALIES

To demonstrate the advantage of using aqueous vaginal contrast and scheduled hematocolpos with MRI to improve delineation gynecologic anatomy, recommend that this modality be considered in patients complex müllerian anomalies. OHVIRA is a unilateral obstructed anomaly can definitively treated resection obstruction. When hemivagina within close proximity patent hemivagina, septum should performed. However, when uterus are not adjacent risk post-resection stenosis increased due thickness obstructing tissue. Laparoscopic removal side as an alternative approach. In presented case, 17-year-old patient for definitive surgical management. A pelvic was performed, but hormonal suppression cavity decompressed, making it very difficult discern relationship between two uteri vaginas. better determine whether feasible, norethindrone discontinued allow menstrual blood fill followed by subsequent gel visualization decompressed cavities. The addition clearly delineated course caliber vagina its now filled blood. inferior margin had <1 cm narrow segment vagina, cervix superiorly displaced 3.5 above vagina. Given these findings, post-operative following determined too high. decision made proceed laparoscopic obstruction, right hemiuterus, fallopian tube, cervix, recovered without complication post-operatively, her menses resumed any pain. We highlight use techniques optimize imaging anatomy anomaly. First, advantageous delineate Second, cessation menstruation develop helped These adjuncts provided necessary detail could appreciated standard confirm preserve would high patient.