Uterus Didelphys and Longitudinal Vaginal Septum Coincident with an Obstructive Transverse Vaginal Septum

Moawad, Nash S.; Mahajan, Sahil; Moawad, Stephanie A.; Greenfield, Marjorie

doi:10.1016/j.jpag.2009.02.009

Cited by 14 publications

(4 citation statements)

References 7 publications

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“…Moawad et al reported a case of a 15-year-old girl with abdominal mass with primary amenorrhoea and found a combined uterus didelphys, double cervix with a longitudinal and transverse vaginal septum [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Uterine Didelphys with Transverse Vaginal Septum – A Complex rare Müllerian anomaly

Khan

Sharma

Saha

et al. 2021

AML

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During the development of the female genital tract, any insult to the normal development process results in a set of intriguing abnormalities known as Müllerian duct abnormalities. The uterine didelphys is the second least common type of anomaly among these, which may commonly be associated with a longitudinal vaginal septum (lateral fusion defect). However uterine didelphys along with a transverse vaginal septum (lateral fusion plus resorption defect) is a very rare finding and to the best of our knowledge, thecase that we hereby report is the second one in literature.A 16-year-old unmarried girl presented with primary amenorrhoea and cyclical pain for 18months.On clinical examination and imaging, a case of uterine didelphys and transverse vaginal septum was found. Her urinary tract was normalon USG and MRI evaluation. Excision of the septum was done by abdomino-vaginal approach. The patient was discharged well.We conclude that a patient presenting with primary amenorrhea especially with cyclical dysmenorrhea with a transverse vaginal septum on examination should be thoroughly investigated for associated upper genital tract abnormalities as the treatment strategy and prognosis is largely dependent on the correct classification of the anomaly.

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Section: Discussionmentioning

confidence: 99%

Uterine Didelphys with Transverse Vaginal Septum – A Complex rare Müllerian anomaly

Khan

Sharma

Saha

et al. 2021

AML

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“…The female reproductive organs are developed from 2 embryonic segments: the Miillerian (paramesonephric) ducts and urogenital sinus [5,6]. By the 6th week of gestation, the Miillerian ducts form in both sexes from celomic epithelium beside the Wolffian (mesonephric) ducts, resulting in 2 pairs of genital ducts.…”

Section: Discussionmentioning

confidence: 99%

“…Both Miillerian ducts extend caudally into the pelvis and fuse in the midline just dorsal to the urogenital sinus to form the uterovaginal primordium that develops into the uterus and superior part of the vagina. In rare instances, the medial fused walls of the Miillerian ducts do not degenerate, resulting in a longitudinal vaginal septum [6].…”

Section: Discussionmentioning

confidence: 99%

Cystic Malformation of Lower Female Genital Tract Resulting in Hydrops Fetalis: A Case Report

2013

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Genitourinary tract malformations causing hydrops fetalis are rare. The authors report a case of a female delivered at 32 weeks gestational age following a prenatal diagnosis of an abdominopelvic cystic mass with hydrops fetalis. The neonate was persistently hypoxic with unstable cardiovascular status and survived only 7 days. At autopsy, a cystic malformation replaced the vagina and uterus, associated with lower vaginal atresia and anorectal agenesis. The cyst had interfered with the normal process of Müllerian duct fusion, leading to a longitudinal vaginal septum and bifurcation of endocervix, with absent uterus and fallopian tubes. The urinary bladder was compressed by the cyst, resulting in bilateral hydronephrosis. The cyst impeded the inferior vena caval and umbilical venous circulations and impinged upon the thoracic cavity with resultant pulmonary hypoplasia. This malformation, which might be termed "cystic dysplasia" of the vagina, represents an extreme form of hydrometrocolpos that resulted in hydrops fetalis.

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“…Longitudinal Septum Superficial ultrasound scanning can trace longitudinal vaginal septum especially in case of uterus didelphys that may be coincident with an obstructive transverse vaginal septum. 3 Vaginal agenesis/atresia It can be either an isolated anomaly that is present as a linear hypoechoic line at the confine of the vagina, yet with absence of the echogenic linear central echo that represents the vaginal lumen (Figure 7) or it may be associated with abnormality of the uterus, in the named Mayer-Rokitansky-Kuster-Hauser syndrome. 4 Reconstruction of a neovagina could be successful and safe if the operative procedure is guided by the transperineal ultrasound.…”

Section: Transverse Vaginal Septummentioning

confidence: 99%

Surface transperineal ultrasound and vaginal abnormalities: applications and strengths

Hamed

Mansour

2017

The British Journal of Radiology

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The role of ultrasound in the assessment of the female pelvis whether using transabdominal/transluminal approach is well established. Little was reported about the use of the superficial transperineal approach that could provide a full assessment of the lower cervix and vagina, which may be overlooked in the standard examinations. The proximity of the probe to the vagina helps not only the detection of organ abnormalities but also proper characterization and differentiation of vaginal masses. . We discuss the diagnostic role of this superficial ultrasound approach in improving the perception and interpretation of the anatomy and different diseases of the vagina.

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Uterus Didelphys and Longitudinal Vaginal Septum Coincident with an Obstructive Transverse Vaginal Septum

Cited by 14 publications

References 7 publications

Uterine Didelphys with Transverse Vaginal Septum – A Complex rare Müllerian anomaly

Uterine Didelphys with Transverse Vaginal Septum – A Complex rare Müllerian anomaly

Cystic Malformation of Lower Female Genital Tract Resulting in Hydrops Fetalis: A Case Report

Surface transperineal ultrasound and vaginal abnormalities: applications and strengths

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