|
KMID : 1103720100620040377
|
|
Journal of the Korean Society of Radiology
2010 Volume.62 No. 4 p.377 ~ p.382
|
|
|
Uterus Didelphys with Obstructed Hemivagina and Ipsilateral Renal Agenesis: The Radiologic Findings of Five Cases
|
|
Lee Sun-Jung
Yi Boem-Ha
Park Seong-Jin
Lee Hae-Kyung
Lee Kwon-Hae
Lee Hae-Hyeog
Kim Tae-Hee
|
|
|
Abstract
|
|
|
Purpose: To evaluate the imaging findings of uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis.
Materials and Methods: From March 2003 to December 2008, five patients with uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis were evaluated as part of this study. We retrospectively reviewed the CT, ultrasound, and MRI findings as well as the medical records of each patient.
Results: The patients initially underwent an imaging study for abdominal pain (n=3), recurrent vaginal bleeding (n=1), and prenatal evaluation (n=1). Of the five patients that underwent US, four had hematocolpos and two of them had hematometra. Moreover, three patients underwent a CT examination. The MR examination of four patients revealed hematocolpos (n=3), hematometra (n=1), and a tubular structure resembling an ectopic ureter (n=2). The gynecologic examination of a patient without hematocolpos revealed a pinpoint hole in the vaginal septum. Two of four patients with hematocolpos underwent a vaginal septectomy, which resulted in an improvement of the symptoms.
Conclusion: The most common finding of patients with uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis is vaginal fluid collection. Hematometra is not a consistent finding and can be transient according to the menstrual cycle. MR is the most useful imaging modality for the diagnosis of an ectopic ureter.
|
|
|
KEYWORD
|
|
|
Mu ¨llerian ducts, Abnomalities, Uterus, Urogenital, Ultrasound, Magnetic Resonance Imaging
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|
|