KMID : 0858520150190030196
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Journal of the Korean Society of Magnetic Resonance in Medicine 2015 Volume.19 No. 3 p.196 ~ p.199
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MRI Findings of Obstructed Hemivagina and Ipsilateral Renal Agenesis (OHVIRA syndrome) with a Blind Megaureter: Case Report
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Cho Yun-Hee
Sung Deuk-Jae Han Na-Yeon Park Beom-Jin Kim Min-Ju Sim Ki-Choon Cho Sung-Bum
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Abstract
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Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome is an uncommon congenital abnormality of the female urogenital tract characterized by the triad of uterine didelphys, obstructed hemivagina, and ipsilateral renal agenesis. A 13-year-old female presented with acute lower abdominal pain. Magnetic resonance imaging (MRI) revealed uterine didelphys, hematometrocolpos, obstructed hemivagina, and right ipsilateral agenesis, consistent with OHVIRA syndrome. Also, a well-defined mass with fluid signal intensity, mimicking adnexal neoplasm was seen in the right lower pelvic cavity adjacent to the posterior wall of the bladder. Vaginal septotomy and drainage of hematometrocolpos were done initially, but unilateral hysterectomy was later performed to relieve the patient's symptoms. The cystic mass in the right lower pelvic cavity was also excised and confirmed as a blind megaureter.
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KEYWORD
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Mullerian duct anomaly, Renal anomaly, Blind megaureter, Magnetic resonance imaging (MRI)
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