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Didelphic uterus and obstructed hemivagina with ipsilateral renal agenesis: a case report

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Author(s): Rita Abreu

Journal: Acta Obstetrica e Ginecologia Portuguesa
ISSN 1646-5830


ABSTRACT
Mullerian anomalies comprise a broad range of anomalies. The clinical syndrome of a double uterus, double cervix with obstruction of the vagina and ipsilateral renal agenesis is rare and a high index of suspicion is necessary to diagnose this disorder. The authors report a case of a 13-year-old girl with progressive abdominal pain during menses seven months after menarche. Magnetic resonance showed a didelphic uterus, right hemihaematometrocolpos and suggested the presence of two vaginas. The patient underwent transvaginal excision of the septum with prompt clinical improvement.
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