Uterus Didelphys with Unilateral Obstructed Hemivagina and Renal Agenesis on the Same Side : A Case Report

Abstract

A rare condition, complete or incomplete duplication of the uterus and cervix with unilateral vaginal obstruction, is usually associated with ipsilateral renal agenesis. Clinical presentations are various such as pelvic pain, dysmenorrhea, abnormal vaginal bleeding or vaginal discharge. This patient complained of recurrent foul smelling vaginal discharge for many years, that was initially treated with many antibiotics and failed to recognize the true diagnosis. The menstrual and fertility functions were normal. The case, diagnosed and treated at Chonburi Hospital, is presented for awareness of this syndrome. (Thai J Obstet Gynaecol 1993; 5: 103-106.)