Double Uterus with Unilaterally Obstructed Hemivagina
and Ipsilateral Renal Agenesis : A Variety Presentation
and a 10-Year Review of the Literature
VORAPONG PHUPONG, M.D.*,
SURASAK TANEEPANICHSKUL, M.D.*,
PRAMUAN VIRUTAMASEN, M.D.*
KAMTHORN PRUKSANANONDA, M.D.*,
DAMRONG TRESUKOSOL, M.D.*,
Affiliation : * Department of Obstetrics & Gynecology, Faculty of Medicine, Chulalongkom University, Bangkok I 0330. Thailand.
AbstractA double uterus with a unilaterally obstructed hemivagina is a rare condition, usually
associated with ipsilateral renal agenesis. Herein, we report two cases, the first case presenting
with abdominal pain and pelvic mass. Hemihysterectomy was performed leaving the contralateral
uterus intact. The second case presented with chronic foul smelling vaginal discharge. The diag-
nosis was a double uterus and pyocolpos of the left vagina. Excision of the left vaginal septum
and drainage were performed. The postoperative course of both cases was uneventful and the
patients were well at the six-week follow-up. An accurate diagnosis, appropriate management
and the prevention of future fertility problems are discussed.
Keywords : Double Uterus, Hemivagina, Renal Agenesis, Pyocolpos
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