Complete septate uterus, obstructed hemivagina, and ipsilateral adnexal and renal agenesis in pregnancy
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چکیده
Most cases of double uterus with obstructed hemivagina and ipsilateral renal agenesis were diagnosed at adolescents after menarche. This is the first reported case of complete septate uterus with obstructed hemivagina and ipsilateral renal agenesis in addition to ipsilateral agenesis of fallopian tube and ovary in which the diagnosis was delayed until pregnancy. The pregnancy was uneventful in spite of intermittent vaginal spotting. During the cesarean section, the septum of the uterus was resected and about a 3-cm×3-cm window was made on the vaginal septum to allow an opening for the obstructed vaginal discharge. We followed the patient up for one and half years, and she has not had symptoms such as dysmenorrhea or abnormal vaginal bleeding.
منابع مشابه
گزارش یک مورد ناهنجاری تکاملی یکطرفه مجرای مولر
Developmental defect of Mullerian duct is a congenital malformation characterized by anomalies in famale upper genital organs. As the anomaly is associated with obstruction of the duct, other congenital anomalies of urinary tract specially ipsilateral ranal agenesis are common. This anomaly is often discovered in adolescent period and is usually asymptomatic until puberty. To discover this anom...
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Gynecologic and urinary congenital malformations are often associated and mostly diagnosed in teenagers. To update a 116-case international case registry, three cases of uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis, detected in young girls, are reported. Diagnostic procedures and surgical treatment are discussed.
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Uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis (OHVIRA Syndrome) is a rare congenital anomaly of the female genital tract. Uterus didelphys occurs when the midline fusion of the mullerian ducts is arrested, either completely or incompletely. Women with didelphic uterus may be asymptomatic and unaware of having a double uterus. They may present with complaints of dysm...
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Herlyn-Werner-Wunderlich syndrome (HWWS), characterized by uterus didelphys, obstructed hemivagina, and associated with ipsilateral renal agenesis, is an uncommon combined Mullerian and mesonephric duct anomaly. We are reporting a case of 12 year old Female presented with lower abdominal pain, clinically as suspected to have lower abdominal mass. On subsequent radiological investigation patient...
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