Uterus didelphys with an obstructed hemivagina and ipsilateral renal agenesis
Diagnosis certain
Presentation
Lower abdominal pain for 2 days.
Patient Data
Age: 14 years
Gender: Female
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Two uterine bodies with separate cervix and vaginal canal are noted suggesting uterine didelphys. A well-defined fluid collection is noted in the right vaginal canal likely representing hematocolpos.
Right renal agenesis.
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Case Discussion
This combination of findings is known as Herlyn-Werner-Wunderlich syndrome. The patient underwent incision and drainage of the hematocolpos.