Uterus didelphys with imperforate hemivagina and ipsilateral renal agenesis complicated by hematocolpos, hematometra and hematosalpinex. The challenge of intact hymen
Background: Uterine didelphys with obstructed hemivagina is an extremely rare condition. This diagnosis should be considered whenever an adolescent is presented with severe dysmenorrhea and progressive pelvic mass. Case: A 15-year-old girl presented with uterus didelphys with obstructed left hemivag...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2011-12-01
|
| Series: | Middle East Fertility Society Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1110569011000793 |
| _version_ | 1819034693255823360 |
|---|---|
| author | Kamal M. Zahran Diaa Eldeen M. Abd El Aal Moustafa H.M. Othman Eman R. Ahmed |
| author_facet | Kamal M. Zahran Diaa Eldeen M. Abd El Aal Moustafa H.M. Othman Eman R. Ahmed |
| author_sort | Kamal M. Zahran |
| collection | DOAJ |
| description | Background: Uterine didelphys with obstructed hemivagina is an extremely rare condition. This diagnosis should be considered whenever an adolescent is presented with severe dysmenorrhea and progressive pelvic mass.
Case: A 15-year-old girl presented with uterus didelphys with obstructed left hemivagina and ipsilateral renal agenesis. Excision of the septum was done using monopolar diathermy in the cutting mode under laparoscopic and hysteroscopic guidance, taking into consideration the integrity of the hymen. Complete recovery was achieved within one week.
Conclusion: The prompt and accurate diagnosis of this condition is essential to prevent complications from acute illness and to preserve future fertility. Ultrasonography, CT scan and MRI are the initial steps for its diagnosis; however, laparoscopy is a crucial tool for confirmation of the diagnosis. In order to avoid the associated morbidity of delayed management, surgical intervention should be considered as the first line therapy, taking into consideration the social and traditional backgrounds of the parents and patients. |
| first_indexed | 2024-12-21T07:37:47Z |
| format | Article |
| id | doaj.art-c9b98264a8384dbe8eff97d1bb455586 |
| institution | Directory Open Access Journal |
| issn | 1110-5690 |
| language | English |
| last_indexed | 2024-12-21T07:37:47Z |
| publishDate | 2011-12-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Middle East Fertility Society Journal |
| spelling | doaj.art-c9b98264a8384dbe8eff97d1bb4555862022-12-21T19:11:25ZengSpringerOpenMiddle East Fertility Society Journal1110-56902011-12-0116429129410.1016/j.mefs.2011.08.007Uterus didelphys with imperforate hemivagina and ipsilateral renal agenesis complicated by hematocolpos, hematometra and hematosalpinex. The challenge of intact hymenKamal M. Zahran0Diaa Eldeen M. Abd El Aal1Moustafa H.M. Othman2Eman R. Ahmed3Department of Obstetrics and Gynecology, Assiut University, Assiut, EgyptDepartment of Obstetrics and Gynecology, Assiut University, Assiut, EgyptDepartment of Radiology, Faculty of medicine, Assiut University, Assiut, EgyptDepartment of Obstetrics and Gynecology Nursing, Faculty of Nursing, Assiut University, Assiut, EgyptBackground: Uterine didelphys with obstructed hemivagina is an extremely rare condition. This diagnosis should be considered whenever an adolescent is presented with severe dysmenorrhea and progressive pelvic mass. Case: A 15-year-old girl presented with uterus didelphys with obstructed left hemivagina and ipsilateral renal agenesis. Excision of the septum was done using monopolar diathermy in the cutting mode under laparoscopic and hysteroscopic guidance, taking into consideration the integrity of the hymen. Complete recovery was achieved within one week. Conclusion: The prompt and accurate diagnosis of this condition is essential to prevent complications from acute illness and to preserve future fertility. Ultrasonography, CT scan and MRI are the initial steps for its diagnosis; however, laparoscopy is a crucial tool for confirmation of the diagnosis. In order to avoid the associated morbidity of delayed management, surgical intervention should be considered as the first line therapy, taking into consideration the social and traditional backgrounds of the parents and patients.http://www.sciencedirect.com/science/article/pii/S1110569011000793Uterus didelphysHematocolposHematometraIntact hymen |
| spellingShingle | Kamal M. Zahran Diaa Eldeen M. Abd El Aal Moustafa H.M. Othman Eman R. Ahmed Uterus didelphys with imperforate hemivagina and ipsilateral renal agenesis complicated by hematocolpos, hematometra and hematosalpinex. The challenge of intact hymen Middle East Fertility Society Journal Uterus didelphys Hematocolpos Hematometra Intact hymen |
| title | Uterus didelphys with imperforate hemivagina and ipsilateral renal agenesis complicated by hematocolpos, hematometra and hematosalpinex. The challenge of intact hymen |
| title_full | Uterus didelphys with imperforate hemivagina and ipsilateral renal agenesis complicated by hematocolpos, hematometra and hematosalpinex. The challenge of intact hymen |
| title_fullStr | Uterus didelphys with imperforate hemivagina and ipsilateral renal agenesis complicated by hematocolpos, hematometra and hematosalpinex. The challenge of intact hymen |
| title_full_unstemmed | Uterus didelphys with imperforate hemivagina and ipsilateral renal agenesis complicated by hematocolpos, hematometra and hematosalpinex. The challenge of intact hymen |
| title_short | Uterus didelphys with imperforate hemivagina and ipsilateral renal agenesis complicated by hematocolpos, hematometra and hematosalpinex. The challenge of intact hymen |
| title_sort | uterus didelphys with imperforate hemivagina and ipsilateral renal agenesis complicated by hematocolpos hematometra and hematosalpinex the challenge of intact hymen |
| topic | Uterus didelphys Hematocolpos Hematometra Intact hymen |
| url | http://www.sciencedirect.com/science/article/pii/S1110569011000793 |
| work_keys_str_mv | AT kamalmzahran uterusdidelphyswithimperforatehemivaginaandipsilateralrenalagenesiscomplicatedbyhematocolposhematometraandhematosalpinexthechallengeofintacthymen AT diaaeldeenmabdelaal uterusdidelphyswithimperforatehemivaginaandipsilateralrenalagenesiscomplicatedbyhematocolposhematometraandhematosalpinexthechallengeofintacthymen AT moustafahmothman uterusdidelphyswithimperforatehemivaginaandipsilateralrenalagenesiscomplicatedbyhematocolposhematometraandhematosalpinexthechallengeofintacthymen AT emanrahmed uterusdidelphyswithimperforatehemivaginaandipsilateralrenalagenesiscomplicatedbyhematocolposhematometraandhematosalpinexthechallengeofintacthymen |