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J Yeungnam Med Sci > Volume 24(2 Suppl); 2007 > Article
Yeungnam University Journal of Medicine 2007;24(2 Suppl):S737-741.
DOI: https://doi.org/10.12701/yujm.2007.24.2S.S737    Published online December 31, 2007.
A Case of Uterine Didelphys with Obstructed Hemivagina and Ipsilateral Renal Agenesis
Sung Chul Park, Doo Jin Lee, Sung Ho Lee, Yoon Ki Park
Department of Obstetrics and Gynecology, College of Medicine, Yeungnam University, Daegu, Korea
일측성 질폐쇄 및 동측 신장 무발생을 동반하는 중복자궁 1 예
박성철, 이두진, 이승호, 박윤기
영남대학교 의과대학 산부인과학교실
Correspondence:  Yoon Ki Park, Tel: (053) 620-3434, Fax: (053) 654-0676, 
Email: Yoonki@med.yu.ac.kr
Abstract
Frequency of female genital congenital abnormality is about 0.2%. We suspect female as uterine abnormality with hematocolpos, who after menarche with progressive abdominal pain during menses, in associated with the finding of growing pelvic mass and not visible unilateral kidney at urography. Commonly it was fined with acute lower abdominal pain at puberty. Early diagnosis is very important to treatment and to fertility of patient. The simple and adequate treatment of the condition is incision of the obstructed vaginal septum providing adequate drainage of the retained blood. If diagnosis of this disease is late, it may occur complications of hematocolpos, hematosalphinx, endometriosis and pelvic adhesions by flowing backward of mensturational blood. Also it may cause decreasing fertility and secondary infection. We report a case of uterine didelphys with obstructed hemivagina and ipsilateral renal agenesis with a brief review of the literature.
Key Words: Uterine didelphys, Hematocolpos, Müllerian anomaly
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