Hydronephrosis: A Rare Presentation of Uterine Didelphys with Obstructed Hemivagina and Ipsilateral Renal Anomaly

Jessica H. Selter, Mindy Sue Christianson, Chantel Cross, Nina Resetkova, Lisa Kolp

Research output: Contribution to journalArticle

Abstract

Background: Obstructed hemivagina and ipsilateral renal anomaly syndrome is a Müllerian duct anomaly characterized by uterine didelphys, obstructed hemivagina, and ipsilateral renal anomalies. Case: A 12-year-old girl with a history of right renal agenesis presented to the emergency department with abdominal pain, dysuria, and urinary retention. Imaging identified a uterine didelphys with a large obstructed right hemivagina compressing the left ureter, causing hydronephrosis. She underwent vaginal septum resection for curative treatment. Summary and Conclusion: In female patients who present with abdominal pain and a history of renal abnormalities, obstructed hemivagina and ipsilateral renal anomaly syndrome must be considered in the differential diagnosis. This consideration is important in preventing complications such as hydronephrosis seen in this patient.

Original languageEnglish (US)
JournalJournal of Pediatric and Adolescent Gynecology
DOIs
StateAccepted/In press - 2016

Fingerprint

Hydronephrosis
Kidney
Abdominal Pain
Dysuria
compound A 12
Urinary Retention
Ureter
Hospital Emergency Service
Differential Diagnosis
Therapeutics

Keywords

  • Müllerian anomaly
  • Renal agenesis
  • Uterine didelphys

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health

Cite this

@article{e6630b4c3f9e4665abecdf547aa7c73e,
title = "Hydronephrosis: A Rare Presentation of Uterine Didelphys with Obstructed Hemivagina and Ipsilateral Renal Anomaly",
abstract = "Background: Obstructed hemivagina and ipsilateral renal anomaly syndrome is a M{\"u}llerian duct anomaly characterized by uterine didelphys, obstructed hemivagina, and ipsilateral renal anomalies. Case: A 12-year-old girl with a history of right renal agenesis presented to the emergency department with abdominal pain, dysuria, and urinary retention. Imaging identified a uterine didelphys with a large obstructed right hemivagina compressing the left ureter, causing hydronephrosis. She underwent vaginal septum resection for curative treatment. Summary and Conclusion: In female patients who present with abdominal pain and a history of renal abnormalities, obstructed hemivagina and ipsilateral renal anomaly syndrome must be considered in the differential diagnosis. This consideration is important in preventing complications such as hydronephrosis seen in this patient.",
keywords = "M{\"u}llerian anomaly, Renal agenesis, Uterine didelphys",
author = "Selter, {Jessica H.} and Christianson, {Mindy Sue} and Chantel Cross and Nina Resetkova and Lisa Kolp",
year = "2016",
doi = "10.1016/j.jpag.2015.12.011",
language = "English (US)",
journal = "Journal of Pediatric and Adolescent Gynecology",
issn = "1083-3188",
publisher = "Elsevier USA",

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TY - JOUR

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T2 - A Rare Presentation of Uterine Didelphys with Obstructed Hemivagina and Ipsilateral Renal Anomaly

AU - Selter, Jessica H.

AU - Christianson, Mindy Sue

AU - Cross, Chantel

AU - Resetkova, Nina

AU - Kolp, Lisa

PY - 2016

Y1 - 2016

N2 - Background: Obstructed hemivagina and ipsilateral renal anomaly syndrome is a Müllerian duct anomaly characterized by uterine didelphys, obstructed hemivagina, and ipsilateral renal anomalies. Case: A 12-year-old girl with a history of right renal agenesis presented to the emergency department with abdominal pain, dysuria, and urinary retention. Imaging identified a uterine didelphys with a large obstructed right hemivagina compressing the left ureter, causing hydronephrosis. She underwent vaginal septum resection for curative treatment. Summary and Conclusion: In female patients who present with abdominal pain and a history of renal abnormalities, obstructed hemivagina and ipsilateral renal anomaly syndrome must be considered in the differential diagnosis. This consideration is important in preventing complications such as hydronephrosis seen in this patient.

AB - Background: Obstructed hemivagina and ipsilateral renal anomaly syndrome is a Müllerian duct anomaly characterized by uterine didelphys, obstructed hemivagina, and ipsilateral renal anomalies. Case: A 12-year-old girl with a history of right renal agenesis presented to the emergency department with abdominal pain, dysuria, and urinary retention. Imaging identified a uterine didelphys with a large obstructed right hemivagina compressing the left ureter, causing hydronephrosis. She underwent vaginal septum resection for curative treatment. Summary and Conclusion: In female patients who present with abdominal pain and a history of renal abnormalities, obstructed hemivagina and ipsilateral renal anomaly syndrome must be considered in the differential diagnosis. This consideration is important in preventing complications such as hydronephrosis seen in this patient.

KW - Müllerian anomaly

KW - Renal agenesis

KW - Uterine didelphys

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