Related Experiment Video
Updated: Aug 7, 2026
06:44
Demonstration of Cutaneous Allodynia in Association with Chronic Pelvic Pain
Published on: June 23, 2009
Lower Abdominal Pain in a Perimenarchal Adolescent
1Division of Adolescent Medicine, NW6, Montefiore Medical Center, 111 East 210th Street, Bronx, NY 10467, USA.
Adolescent Medicine (Philadelphia, Pa.)
|October 1, 1996
Summary
A teenage girl experienced severe abdominal pain due to uterus didelphis, a rare condition causing blocked menstruation. Surgical removal of the vaginal septum resolved the hematocolpos and hematometra, relieving her symptoms.
Area of Science:
- Reproductive Medicine
- Pediatric Surgery
- Medical Imaging
Background:
- Uterus didelphis is a congenital uterine malformation where the uterus and cervix are duplicated.
- Obstruction of a duplicated Müllerian system can lead to hematocolpos and hematometra, causing significant pelvic pain.
- Adolescent gynecological issues, including obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome, require prompt diagnosis and management.
Purpose of the Study:
- To report a case of uterus didelphis presenting with symptomatic hematocolpos and hematometra in an adolescent.
- To highlight the diagnostic utility of computed tomography (CAT) scan in identifying Müllerian duct anomalies.
- To describe the successful surgical management of an obstructed hemivagina in a pediatric patient.
Main Methods:
- A 13-year-old female presented with acute lower abdominal pain and dysuria.
- Computed tomography (CAT) scan of the abdomen and pelvis was performed for diagnosis.
- Surgical excision of the vaginal septum was conducted to relieve the obstruction.
Main Results:
- CAT scan revealed uterus didelphis with an obstructed left hemivagina causing hematocolpos and hematometra.
- Left renal agenesis was incidentally noted.
- Surgical removal of the vaginal septum was performed without complications.
Conclusions:
- Uterus didelphis with an obstructed hemivagina can present as acute abdominal pain in adolescents.
- Early diagnosis via imaging and prompt surgical intervention are crucial for managing hematocolpos and hematometra.
- Associated renal anomalies should be considered in patients with Müllerian duct abnormalities.
More Related Videos
07:20Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity
Published on: December 21, 2012
05:36Herbs-Partitioned Moxibustion on the Navel in a Rat Model of Primary Dysmenorrhea with Cold Coagulation and Blood Stasis
Published on: October 4, 2024
Related Concept Videos
01:19Abdominal Regions and Quadrants
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four quadrants...
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four quadrants...
01:24Disorders of the Female Reproductive System
The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...
01:24Chronic Pancreatitis I: Introduction
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
01:22Appendicitis-I: Introduction
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
01:19Appendicitis
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
01:25Chronic Pancreatitis I: Introduction
Chronic pancreatitis is a long-standing, relapsing inflammation of the pancreas, characterized by irreversible damage to the gland. It results in progressive destruction of the pancreatic parenchyma, fibrosis, and eventual loss of both exocrine and endocrine function. The disease may evolve gradually after multiple episodes of acute pancreatitis or develop independently.EtiologyChronic pancreatitis can arise from a variety of causes:Alcohol use is the leading cause, accounting for 70–80% of...