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Published on: February 10, 2023
An unusual presentation of uterine didelphys and obstructed hemivagina
Sloane Berger-Chen1, Jessica M B Ritch, Jin Hee Kim
1Department of Obstetrics and Gynecology, Columbia University, New York City, New York, USA. swbcmd@hotmail.com
Background:
Congenital disorders of the genitourinary system can be unpredictable. There are both medical and surgical interventions that can help manage symptoms.
Case:
A 10-year-old girl was evaluated 6 months post-menarche with dysuria and pelvic pain. Her symptoms were not relieved with menstrual suppression. Evaluation revealed a probable ectopic ureter versus ureterocele and uterine didelphys with suspicion for obstructed hemivagina and hematocolpos. Surgical exploration revealed an obstructed hemivagina with a high vaginal septum. When resection failed, she ultimately underwent a robot-assisted hemihysterectomy, with resolution of her symptoms.
Summary And Conclusions:
In this case presentation, a surgical approach was necessary to adequately make a diagnosis. When vaginal septum resection failed, robot-assisted laparoscopic hemi-hysterectomy and resection of a vaginal pouch led to symptom resolution in this pediatric patient with a complex anomaly.
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