Ein interessanter Fall – Uterus didelphys

Introduction: Uterus didelphys with obstructed hemivagina associated with ipsilateral renal agenesis (OHVIRA syndrome) is a rare female urogenital malformation and delay in its diagnosis could lead to several complications. Case presentation: A 21-year-old virgin woman was admitted to the emergency department (ED) with severe abdominal pain, without fever and vaginal discharge. She reported a history of cyclic abdominopelvic pain and dysmenorrhea for 5 years. The primary diagnosis (OHVIRA syndrome) was made using ultrasonography, spiral computed tomography (CT) and magnetic resonance imaging (MRI). In addition, laparoscopy was performed to confirm diagnosis and drain hematosalpinx. Then, hysteroscopy was carried out for septum resection and catheter insertion. At one-month follow-up the ultrasonography showed normal left hemicavity of uterus associated with significant decrease in dysmenorrhea. Conclusion: Being aware of OHVIRA syndrome and clinical suspicion of this rare anomaly are essential for making a timely diagnosis, preventing complications, relieving symptoms, and preserving future fertility.

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Hysteroscopic Resection of the Vaginal Septum in Uterus Didelphys with Obstructed Hemivagina: A Case Report

Journal of Korean Medical Science ◽

10.3346/jkms.2007.22.4.766 ◽

2007 ◽

Vol 22 (4) ◽

pp. 766 ◽

Cited By ~ 19

Author(s):

Tae Eun Kim ◽

Gyoung Hoon Lee ◽

Young Min Choi ◽

Byung Chul Jee ◽

Seung-Yup Ku ◽

...

Keyword(s):

Case Report ◽

Vaginal Septum ◽

Uterus Didelphys ◽

Obstructed Hemivagina ◽

Hysteroscopic Resection

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A rare case presentation of an anomalous uterus mimicking ovarian tumour

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20172370 ◽

2017 ◽

Vol 6 (6) ◽

pp. 2638

Author(s):

Mohanambal M. ◽

Wills G. Sheelaa

Keyword(s):

Rare Case ◽

Pregnancy Loss ◽

Recurrent Pregnancy Loss ◽

Ovarian Tumour ◽

Left Ovary ◽

Unusual Presentation ◽

Case Presentation ◽

Young Girls ◽

Uterus Didelphys ◽

Operative Findings

Mullerian anomalies occur in 1:1000-3000 females. Uterus didelphys and obstructed hemangioma with a septum contribute to 10% anomalies. Young girls present with severe dysmenorrhea, hematometra, hematocolpos and recurrent pregnancy loss. A 16-year-old teenager presented like a torsion of complex ovarian tumour is presented here. Intra operative findings was uterus didelphys with well-developed 2 horns, tubes and ovaries. On left ovary, a hemorrhagic corpus luteal cyst of size 5.2*4cm was seen with 50ml of hemoperitoneum. Diagnosis was confirmed histopathologically. This case is reported for the unusual presentation of an anomalous uterus mimicking torsion ovarian tumour.

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