Laparoscopic Hemihysterectomy for Obstructive Uterine Didelphys with Unilateral Vaginal Hypoplasia

A 19-year-old woman was referred to our tertiary gynecology unit from a regional center with prolonged menstrual bleeding, brown intermenstrual discharge, dysmenorrhea, and a recent diagnosis of uterine didelphys. She had initially presented with pelvic pain and fever and undergone a laparoscopy for suspected appendicitis. She was found to have a normal appendix, infected right endometrioma, and 2 uterine horns. After treatment with antibiotics, magnetic resonance imaging (Fig. 1) showed uterine didelphys with a single vaginal lumen, right renal agenesis, and a 3-cm right endometrioma.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Images in Gynecologic Surgery Source Type: research