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¿µ³²ÀÇ´ëÇмúÁö Vol.24_No.2 Suppl. P.S737-741, Dec. 2007
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Case Report
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ÀÏÃø¼º ÁúÆó¼â ¹× µ¿Ãø ½ÅÀå ¹«¹ß»ýÀ» µ¿¹ÝÇÏ´Â Áߺ¹Àڱà 1 ¿¹ |
A Case of Uterine Didelphys with Obstructed Hemivagina and Ipsilateral Renal Agenesis
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¹Ú¼ºÃ¶, À̵ÎÁø, À̽ÂÈ£, ¹ÚÀ±±â
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¿µ³²´ëÇб³ Àǰú´ëÇÐ »êºÎÀΰúÇб³½Ç
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Ã¥ÀÓÀúÀÚ£º¹ÚÀ±±â, ´ë±¸±¤¿ª½Ã ³²±¸ ´ë¸íµ¿ 317-1, ¿µ³²´ëÇб³ Àǰú´ëÇÐ »êºÎÀΰúÇб³½Ç
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Tel: (053) 620-3434, Fax: (053) 654-0676
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E-mali: Yoonki@med.yu.ac.kr
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December 30, 2007
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Abstract
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Frequency of female genital congenital abnormality is about 0.2%. We suspect female as uterine abnormality with hematocolpos, who after menarche with progressive abdominal pain during menses, in associated with the finding of growing pelvic mass and not visible unilateral kidney at urography. Commonly it was fined with acute lower abdominal pain at puberty. Early diagnosis is very important to treatment and to fertility of patient. The simple and adequate treatment of the condition is incision of the obstructed vaginal septum providing adequate drainage of the retained blood. If diagnosis of this disease is late, it may occur complications of hematocolpos, hematosalphinx, endometriosis and pelvic adhesions by flowing backward of mensturational blood. Also it may cause decreasing fertility and secondary infection. We report a case of uterine didelphys with obstructed hemivagina and ipsilateral renal agenesis with a brief review of the literature.
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Key Words: Uterine didelphys, Hematocolpos, Mullerian anomaly
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References |
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1. Gabriele T, Mirella A. Uterus didelphys with an obstructed hemivagina and ipsilateral renal agenesis in teenager: report of three cases. Am J Obstet Gynecol 1988;159:882-3.
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2. Stassart JP, Nagel TC, Prem KA, Phipps WR. Uterus didelphys, obstructed hemivagina, and ipsilateral renal agenesis: The University of Minnesota experience. Fertil Steril 1992;57(4): 756-61.
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3. Berman L, Stringer DA, Stonge O, Daneman A, Smith C. Unilateral hematocolpos in uterine duplication associated with renal agenesis. Clin Radiol 1987;38:545-7.
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4. Arey LB. The genital system: Developmental anatomy. A textbook and laboratory manual of embryology. Philadelphia; WB Saunders, 1974:315-41.
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5. À̹èÈÆ, ±èÀç¿ø, ¿À¼ºÀÏ, ±è¹®È«, ¹Ú³ëÇö, ÀÌÁø¿ë µî. ÀÏÃø ÁúÆó¼â¿Í ½ÅÀå ¹«¹ß»ýÀ» µ¿¹ÝÇÑ Áߺ¹Àڱà 3¿¹. ´ëÇÑ»êºÎȸÁö 1997;40:1489-95.
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6. Hording U, Legarth J. Uterus didelphys with a unilateral imperforate hemivagina and ipsilateral renal agenesis. Acta Obstet Gynecol Scand 1987;66(3):277-8.
|
|
7. Golan A, Langer R, Bukovsky I. Congenital anomalies of the Mullerian system. Fetil and Steril 1989;51:747-55.
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8. Erdogan E, Okan G and Daragenli O. Uterus didelphys with unilateral obstructed hemivagina and renal agenesis on the same side. Acta Obstet Gynecol Scand 1992; 71:76-7.
|
|
9. Magee MC, Lucey DT, Fried F. A new embryological classification of uro-gynecologic malformations: The syndromes of mesonephric ductinduced mullerian deformities. J Urol 1979; 121:265-7.
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|
10. Skondras KG, Moutsouris CC. Barouchas GC et al. Uterus didelphys with an obstructed hemivagina and ipsilateral renal agenesis: A rare cause of acute abdomen in pubertal girls. J of Pediatric Surgery 1991;26:1200-1.
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11. Pinsonneault O, Goldstein DP. Obstructing malformations of the uterus and vagina. Fertil Steril 1985;44:241-7.
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12. Gilliland B, Dyck F. Uterus didelphy associated with unilateral imperforate vagina. Obstet Gynecol 1976;48:51-4.
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13. Olive DL, Henderson DY. Endometriosis and mullerian anomalies. Obstet Gynecol 1987;69: 412-5.
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14. ±è¿µÀÎ, ±èÁ¤Çö, ½Å¿Áö, Á¶Á¤Ã¶, °Ã¢¼º, ¾È±â¹ü µî. ÀÏÃø¼º ÁúÆó¼â ¹× µ¿Ãø ½ÅÀå ¹«Çü¼ºÀ» µ¿¹ÝÇÑ Áߺ¹Àڱà 1¿¹. ´ëÇÑ»êºÎȸÁö 1998;41:1202-5.
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15. ¹Ú¹®Ã¶, ±è¿ë¿í, ÀÌÁ¾¹Î, À̼±, ÀÌÁö¼º, ÃÖÀ¯´ö µî. ÀÏÃø¼º ÁúÆó¼â¿Í ½ÅÀå ¹«¹ß»ýÀ» µ¿¹ÝÇÑ Áߺ¹ Àڱà 2¿¹. ´ëÇÑ»êºÎȸÁö 1999;42:1346-50.
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16. Zurawin RK, Dietrich JE, Heard MJ, Edwards CL. Didelphic Uterus and Obstructed Hemivagina with Renal Agenesis: Case Report and Review of the Literature. J Pediatr Adolesc Gynecol 2004;17:137-41.
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17. Carlson RL, Garmel GM. Didelphic uterus and unilaterally imperforate double vagina as an unusual presentation of right lower-quadrant abdominal pain. Ann of Emerg Med 1992;21 (8):1006-8.
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18. Helnonen PK. Reproductive performance of women with uterine anomalies or hysteroscopic metroplasty or no surgical treatment. J Am Assoc Gynecol Laparosc 1997;4(3):311-7.
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19. ¹Ú¼ºÃá, ȲºÀ¼ö, Á¤¼º¼ö, °ûųë. Áú°á¿©¸¦ µ¿¹ÝÇÑ Áߺ¹Àڱà 3¿¹. ´ëÇÑ »êºÎȸÁö 1985;28:1170.
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20. ±èÇö±Ô, ±ÇÀ忬, ±è¿µ±¹, ÀÌ¿µÁø, Â÷µ¿¼ö. ÀÏÃø¼º ÁúÆó¼â ¹× ½ÅÀ幫Çü¼ºÀ» µ¿¹ÝÇÑ Áߺ¹Àڱà 1¿¹. ´ëÇÑ»êºÎȸÁö 1995;38:1102-5.
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21. Tridenti G, Armanetti M, Flisi M et al. Uterus didelphys with an obstructed hemivagina and ipsilateral renal agenesis: Report of three cases. Am J Obstet Gynecol 1988;159(4):882-3.
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