Document Detail


The obstructed hemivagina, ipsilateral renal anomaly, uterus didelphys triad.
MedLine Citation:
PMID:  19780744     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The triad of obstructed hemivagina, renal anomaly and uterus didelphys is an uncommon cause of abdominal pain and menstrual discomfort in adolescent girls. Accurate diagnosis and surgical treatment can be delayed for several months or even years. Adolescent girls presenting with these symptoms should have a baseline pelvic ultrasound scan to establish uterine anatomy. In those with ultrasound findings of M??llerian anomalies appropriate follow up would include a magnetic resonance imaging, preferably at a tertiary centre with expertise in interpretation of M??llerian anatomy, as well as early consultation and referral to a centre with experience in the management of these rare conditions. Appropriate surgery would be a single stage procedure to either excise or completely divide the obstructing septum. There is currently no consensus on concurrent laparoscopy. We present a case series of four patients with the triad of uterus didelphys, obstructed hemivagina and ipsilateral renal agenesis managed between 2005-2009 at a tertiary centre for paediatric and adolescent gynaecology.
Authors:
Rebecca M N Kimble; Soo Keat Khoo; David Baartz; Roy M Kimble
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Australian & New Zealand journal of obstetrics & gynaecology     Volume:  49     ISSN:  1479-828X     ISO Abbreviation:  Aust N Z J Obstet Gynaecol     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-09-28     Completed Date:  2010-01-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0001027     Medline TA:  Aust N Z J Obstet Gynaecol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  554-7     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, 5th Floor Ned Hanlon Building, Royal Brisbane and Women's Hospital, Herston, Qld 4029, Australia. rebecca_kimble@health.qld.gov.au
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple / surgery*
Adolescent
Child
Endometriosis / etiology*,  surgery*,  ultrasonography
Female
Gynecologic Surgical Procedures / methods
Hematocolpos / etiology*,  surgery*
Humans
Kidney / abnormalities
Laparoscopy
Magnetic Resonance Imaging
Uterus / abnormalities
Vagina / abnormalities

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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