Urological Complications Associated to Uterus Didelphys with
Unilateral Hematocolpos
A Case Report and Review of the Literature

Broseta, Enrique; Boronat, F; Jl, Ruiz Rubio; Alonso, M. Hernández; Jm, Osca García; Jf, Jiménez-Cruz

doi:10.1159/000471669

Cited by 7 publications

(3 citation statements)

References 6 publications

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“…3 However, the syndrome in the present case presented with acute retention of urine, which has rarely been reported in published literature. 6,7 Early recognition and prompt surgical removal of the obstructing vaginal septum with drainage is the definitive treatment that will rapidly relieve the symptoms and prevent complications, including endometriosis. 1 Ultrasonography and MRI are widely and effectively used in the diagnosis of genitourinary anomalies, with close to 100% accuracy being reported for MRI.…”

Section: Discussionmentioning

confidence: 99%

OHVIRA Syndrome (obstructed hemivagina and ipsilateral renal anomaly) with Uterus Didelphys, an Unusual Presentation

Mandava¹,

Prabhakar²,

S³

2012

Journal of Pediatric and Adolescent Gynecology

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Section: Discussionmentioning

confidence: 99%

OHVIRA Syndrome (obstructed hemivagina and ipsilateral renal anomaly) with Uterus Didelphys, an Unusual Presentation

Mandava¹,

Prabhakar²,

S³

2012

Journal of Pediatric and Adolescent Gynecology

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“…The impetus to publish this article has come from not only realising how difficult these anomalies are to diagnose, but also due to the realization of the massive complications associated if not treated expeditiously, e.g. severe abdominal pain (7), dysmennorhoea (7), backache (7), sciatica (3), difficulty micturating (6), urinary frequency (6), urinary tract infection (6), pain radiating to the urethra (6), stress urinary incontinence (6), urinary retention (6), dysuria (6), and even in extreme cases acute abdomens with peritonitis (8,9).…”

Section: Discussionmentioning

confidence: 99%

“…These include potential endometriosis from retrograde menstruation (theoretically) with an incidence of 31% in one series (12), and there are figures ranging between 23 (12) and 74% (13). The incidence of spontaneous abortion has been quoted as being as high as 53%, 50% increase in breech deliveries, and inability of the cervix to dilate at the time of delivery necessitating caesarean section in 25% of reported cases (3,6).…”

Section: Discussionmentioning

confidence: 99%

An unusual cause of lower back pain: uterus didelphys and unilateral cervical atresia

Knight

Birknshaw

2005

International Journal of Clinical Practice

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Backache among adolescents and young women is an unusual presenting feature to the Accident and Emergency Department as well as orthopaedic clinics. Here, we present a challenging case of a mullerian duct abnormality, which collectively has an incidence of 0.0001% of the population, and how its consideration and investigation will ensure optimum management in both acute and long term.A 14-year-old, healthy, post-menarchal, nulliparous woman presented to the Accident and Emergency (A&E) Department complaining of persistent backache of 3 months duration which radiated down her right buttock and was not relieved by simple analgesia. On her first presentation to the A&E Department, she was noted to have no bruising or swelling in the area, but her S4 region was tender. No other investigations were performed. She was reviewed by another consultant who prescribed analgesia and physiotherapy.One month later, after having been referred to an orthopaedic consultant by her general practitioner, she again presented to the A&E Department with worsening symptoms, keeping her awake at night and forcing her to stay away from school. There was no history of injury or new source of stress to the spine. On orthopaedic examination, she was noted to have no scoliosis, lordosis or kyphosis of the spine. There were no congenital abnormalities or muscle wasting noted, although there seemed to be a questionable 1.5 cm real leg length discrepancy as was borne out by the uneven wear of her shoes. She was noted to have a normal range of movement in her spine and at flexion was able to touch the floor flathanded. Straight leg when raised to 30˚was painful, especially on the right, but there were no neurological or vascular abnormalities. Radiographs of the spine were normal.In the orthopaedic Outpatient Department, she was found to demonstrate the same features as before although the pain had improved significantly. A full blood count (FBC), erythrocyte sedimentation rate (ESR), C-reactive protein test (CRP) were performed. All were normal. A magnetic resonance imaging (MRI) scan was arranged. The patient began to seek chiropractic treatment by this time.Three months after her first A&E presentation, she again presented to the department with the same pain but the severity was increasing. A thorough re-evaluation of the history revealed that the pain was related exactly to the onset of her periods. The pain would last for 3 weeks, subside for 1 week and then recur exactly on the first day of menstruation. She did not complain of any menstrual anomalies such as menorrhagia or metorrhagia. She was not sexually active, had no vaginal discharge, the urine was free of any pathology and the pregnancy test was negative. Her abdomen was noted to be soft and non-tender, and no masses or anomalies were identified. The Laseque test was positive and radiated around her buttock, but no neuropathology was noted.The gynaecological registrar was consulted due to the ensuing history, and it was decided to try her on oral contraceptive medication to exclude ...

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OHVIRA syndrome presenting with acute abdomen: a case report and review of the literature

Uğurlucan¹,

Baştu²,

Gülşen³

et al. 2014

Clinical Imaging

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Urological Complications Associated to Uterus Didelphys with Unilateral Hematocolpos A Case Report and Review of the Literature

Cited by 7 publications

References 6 publications

OHVIRA Syndrome (obstructed hemivagina and ipsilateral renal anomaly) with Uterus Didelphys, an Unusual Presentation

OHVIRA Syndrome (obstructed hemivagina and ipsilateral renal anomaly) with Uterus Didelphys, an Unusual Presentation

An unusual cause of lower back pain: uterus didelphys and unilateral cervical atresia

OHVIRA syndrome presenting with acute abdomen: a case report and review of the literature

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