A Complicated Hematometra and Fallopian Tubal Occlusion in Uterine Didelphys With Unilateral Cervical Atresia

The Obstructed Hemivagina, Ipsilateral Renal Anomaly, and Uterine Didelphys Triad and the Subsequent Manifestation of Cervical Aplasia

“…11 This large retrospective case study is supported by occasional case reports of this rare variant. [12][13][14][15][16] There is, however, only 1 case identified in the literature in which clinicians encountered the scenario of hematocolpos with an obstructed hemivagina, in addition to unilateral cervical aplasia; this patient also required vaginal septum excision and hemihysterectomy. 17 The anatomical variation seen in these cases can be understood in the context of the embryological development of the female genitourinary tract.…”

Use of 3-D MRI to Diagnose Unilateral Cervical Atresia in Obstructive Hemivagina and Ipsilateral Renal Anomaly (OHVIRA)

“…Preoperative diagnosis is difficult and in reported cases, the diagnosis is often made intraoperatively. 1,2,4,6,7,9 While MRI can assist with preoperative diagnosis and surgical planning, in multiple cases, the diagnosis of surgical atresia was missed 1,2,6,7,9,10 Cervical fistula formation carries a risk of severe infection 11 and it has been proposed that the amount of cervical tissue present should dictate whether or not fistula creation is attempted. 12 The alternative is hemihysterectomy.…”