Management of uterus didelphys, obstructed hemivagina and ipsilateral renal agenesis. A case report.

BACKGROUND

Uterus didelphys with obstructed hemivagina presents with a pelvic mass often inappropriately approached by laparotomy.

CASE: An adolescent female was evaluated for dysmenorrhea, a pelvic mass and a double uterus. Transvaginal resection of the oblique vaginal septum was performed, with relief of symptoms and subsequent conception.

CONCLUSION

This entity should be considered to prevent misdiagnosis and unnecessary abdominal surgery.