Document Detail


Term pregnancy at the site of atresia following vaginal canalization in a case of uterus didelphys with hemivaginal atresia and ipsilateral renal agenesis.
MedLine Citation:
PMID:  17175503     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Uterus didelphys with hemivaginal atresia and ipsilateral renal agenesis is a rare syndrome of müllerian anomalies. Term pregnancy at the site of atresia is even rarer. CASE REPORT: A 28-year-old married woman presented with menometrorrhagia and primary infertility. Pelvic examination led to the suspicion of a pelvic mass between the uterus and bladder, and protruding to the right site of the paracervix. Ultrasound and magnetic resonance imaging examination revealed a left ovarian teratoma, right hematocolpos, and uterus didelphys with atresia of the right vagina and ipsilateral renal agenesis. Enucleation of the left ovarian teratoma by laparoscopy and drainage of hematocolpos by 2-cm canalization as a marsupialization procedure at the right paracervical protruding part under sonographic guidance were performed. Thereafter, a term pregnancy in the affected side was achieved. The patient underwent cesarean section due to breech presentation. CONCLUSION: A greater awareness of the syndrome of uterus didelphys, hemivaginal atresia, and ipsilateral renal agenesis should lead to a correct diagnosis. We herein report our experience with the correct diagnosis and alternative management of this rare syndrome.
Authors:
Fang-Ping Chen; Koon-Kwan Ng
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Taiwanese journal of obstetrics & gynecology     Volume:  45     ISSN:  1875-6263     ISO Abbreviation:  -     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-12-18     Completed Date:  2007-02-26     Revised Date:  2007-12-28    
Medline Journal Info:
Nlm Unique ID:  101213819     Medline TA:  Taiwan J Obstet Gynecol     Country:  China    
Other Details:
Languages:  eng     Pagination:  366-8     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Keelung Chang Gung Memorial Hospital and Chang Gung University, Keelung, Taiwan. fangping@cgmh.org.tw
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Hematocolpos / surgery,  ultrasonography
Humans
Kidney / abnormalities*,  surgery
Pregnancy
Pregnancy Outcome
Syndrome
Treatment Outcome
Urogenital Abnormalities / surgery,  ultrasonography
Uterus / abnormalities*,  surgery
Vagina / abnormalities*,  surgery

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