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KMID : 0358420110540050273
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Korean Journal of Obstetrics and Gynecology
2011 Volume.54 No. 5 p.273 ~ p.277
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A CASE OF THE UTERUS DIDELPHYS WITH UNILATERAL OBSTRUCTED HEMIVAGINA AND IPSILATERAL RENAL AGENESIS
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Jeon Eun-Jin
You Rae-Mi
Kwon Su-Kyoung
Yoon Jae-Won
Kang Hyuk-Jae
Kim Sung-Hoon
Chae Hee-Dong
Kim Chung-Hoon
Kang Byung-Moon
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Abstract
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Uterus didelphys with unilateral obstructed hemivagina, and ipsilateral renal agenesis is a rare congenital anomaly due to Mullerian duct malformation. The most common clinical manifestation is dysmenorrhea, pelvic pain, vaginal or pelvic mass after menarche. Early diagnosis is important, to preserve fertility, to prevent adhesion due to retrograde menstruation, hematometra, hematosalpinx and endometriosis which lead to distorted pelvic anatomy. These anomalies could be diagnosed with ultrasonography and magnetic resonance imaging. Resection or incision of vaginal septum is adequate treatments to relieve symptoms and reserve fertility. We report a case of uterus didelphys with unilateral obstructed hemivagina and ipsilateral renal agenesis with a brief review of the literature.
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KEYWORD
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Uterus didelphys, Obstructed hemivagina, Ipsilateral renal agenesis
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