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 journalArticle

14 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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