Septate uterus with double cervices, unilaterally obstructed vaginal septum, and ipsilateral renal agenesis: A rare combination of müllerian and wolffian anomalies complicated by severe endometriosis in an adolescent

Jun Young Hur, Jung Ho Shin, Jae Kwan Lee, Min Jeong Oh, Ho Suk Saw, Yong Kyun Park, Kyu Wan Lee

    Research output: Contribution to journalArticlepeer-review

    15 Citations (Scopus)

    Abstract

    We present a previously unreported combination of müllerian and wolffian anomalies of a septate uterus with double cervices, unilaterally obstructed vaginal septum, and ipsilateral renal agenesis; this constellation of findings may offer clues that could modify classic embryologic explanations. In spite of the young age of our patient (15-years old), a chief complaint of malodorous vaginal discharge, and absence of dysmenorrhea or any other symptoms of endometriosis, laparoscopic examination revealed severe endometriosis with dense adhesions, probably as a result of abundant menstrual regurgitation. Laparoscopic resection of endometriotic lesions, adhesiolysis, and vaginoscopic septotomy were successfully performed while preserving hymenal integrity.

    Original languageEnglish
    Pages (from-to)128-131
    Number of pages4
    JournalJournal of Minimally Invasive Gynecology
    Volume14
    Issue number1
    DOIs
    Publication statusPublished - 2007 Jan

    Keywords

    • Adolescent
    • Endometriosis
    • Laparoscopy
    • Müllerian anomaly
    • Vaginoscopic septotomy
    • Wolffian anomaly

    ASJC Scopus subject areas

    • Obstetrics and Gynaecology

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