Didelphic uterus, atretic unilateral vagina communicating with a double vagina, ipsilateral renal hypoplasia and ectopic ureter.

A case of didelphic uterus, unilateral atretic vagina with a small communication and a right-sided hypoplastic kidney is presented and illustrated by 'fistulography' and HSG. When a communication between the atretic and the normal vagina is present, the symptoms are often vague, clinically puzzling and can easily be misinterpreted. Because of the close relationship between the development of the urinary and the female genital tract, concomitant malformations are commonly found.