Abstract
ABSTRACT
We report a case of a patient with uterus didelphys, obliteration of the right cervical os, and septate vagina, with associated right hematopyocolpos and right renal agenesis. This 19-year-old woman with menarche at age 12 and regular periods every 28 days reported 2 years of noncyclic, dull, nonradiating, right lower quadrant pain. This case is reported for two reasons. The first is to call attention to the usefulness of radiologic modalities, such as ultrasound and MRI, in demonstrating both external contour and internal arrangement of the organs. The second reason is the interest of the case itself. The only finding that prevented this from being associated with a right hematometra was the apparent closure at a point in the past of the right internal cervical os and retrograde menstruation through the fallopian tube on the right. Associated renal anomalies are discussed. (J GYNECOL SURG 10:103, 1994)
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