Uterus Didelphys with Unilateral Hematometrocolpos and Hematosalpinx

Em, Azouz; Rl, Williams

doi:10.1097/00004728-198210000-00031

Cited by 9 publications

(7 citation statements)

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“…Consequently, we decided to exclude the 12 papers published in the period 1980 to 1985 described in the Morgan et al review (5,6,(30)(31)(32)(33)(34)(35)(36)(37)(38)(39). However, we retrieved four other articles published in the same time span but not cited by Morgan et al (40)(41)(42)(43).…”

Section: Resultsmentioning

confidence: 99%

Asymmetric lateral distribution of obstructed hemivagina and renal agenesis in women with uterus didelphys: institutional case series and a systematic literature review

Vercellini

Daguati

Somigliana

et al. 2007

Fertility and Sterility

135

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Section: Resultsmentioning

confidence: 99%

Asymmetric lateral distribution of obstructed hemivagina and renal agenesis in women with uterus didelphys: institutional case series and a systematic literature review

Vercellini

Daguati

Somigliana

et al. 2007

Fertility and Sterility

135

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“…This observation was confirmed by Bok and Drews [16] in an experimental study with embryo cultures. These findings, together with the analysis of published papers [48][49][50][51][52][53][54], as well as cases studied by us [9,[55][56][57], especially those referring to patients with renal agenesis and ipsilateral blind hemivagina, led to our proposal of an embryological hypothesis [3,56]: "The vagina seems to come completely from the fused mesonephric ducts, though the Müller tubercle would also take part and is fundamental for its adequate formation and cavitation". According to this embryological hypothesis, the fused Müller ducts would form the uterus until the external cervical orifice, induced by the mesonephric ducts that descend at both sides and to which they caudally fuse after their divergence.…”

Section: Embryological Bases For the Development Of The Female Genitamentioning

confidence: 99%

Malformations of the Female Genital Tract and Embryological Bases

Acién

2007

CWHR

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Female genital tract malformations are frequently a cause of reproductive problems. Besides, complex malformations also frequently generate serious gynecological problems, often ones with inappropriate surgical solutions, as the gynecologist does not think of the malformation as either the cause of the symptoms or of its embryonary origin. Apart from analyzing the embryological bases in the development of the female genital tract and insisting on the well known müllerian origin of the uterus, the ratification of the embryological hypothesis about the origin of the human vagina from the Wolff ducts and the Müller tubercle allows us to not only advance in knowledge but to use that knowledge for better clinical management of the problems generated by the complex malformations of the female genital tract. In this review we study the methods and means for the diagnosis of female genital-urinary malformations, their classification and clinical findings, and especially those cases involving unilateral renal agenesis, vaginal ectopic ureter and other complex malformations. We also analyze the related obstetric and gynecologic pathology, and especially that cases of complex genital malformations. We review the related literature and some interesting case reports, as well as our experimental studies in rats. After reasserting our hypothesis about the embryology of the human vagina as derived from the Wolff ducts and the Müller tubercle, we suggest different recommendations for a better approach and management of the malformations of the female genital tract according to the findings observed in different diagnostic procedures.

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“…The failure of müllerian ducts fusion causes various kinds of uterine anomalies that are classified into seven classes by the American Fertility Society [18]: hypoplasia/ agenesis, unicomuate, diderphus, bicornuate, septate, arcuate, and diethylstilbestrol drug related. Although any type of müllerian ducts anomaly (MDA) can accompany renal anomalies embryologically, a rare but specific syndrome of MDA with obstructed hemivagina and ipsilateral renal agenesis has only been reported in didelphys and bicornuate classes [1][2][3][4][8][9][10][11][12][13][14][15][16][17].…”

Section: Discussionmentioning

confidence: 99%

“…Most patients with this syndrome present with abdominal pain that starts right after the menarche (mean presentation age: 17.4 years old) [1][2][3][4][8][9][10][11][12][13][14][15][16]. It is presumed that hematocolpos is responsible for abdominal pain.…”

Section: Discussionmentioning

confidence: 99%

“…However, this syndrome has only been reported with hysterosalpingography (HSG), intravenous urography (IVU) and, in some cases, ultrasound as diagnostic imaging tools [2][3][4][8][9][10][11][12][13][14][15]. We could find only a few radiological reports of this issue diagnosed by CT [16] and even only one single case report by MR [17]. The purpose of this study is to describe MR findings of this syndrome in seven patients.…”

mentioning

confidence: 99%

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