6533b834fe1ef96bd129d746

RESEARCH PRODUCT

MR Imaging of Uterus Didelphys Transverse Vaginal Septum Causing Hematometrocolpos and Renal Agenesis

Marcello De MariaAntonio Lo CastoM. RosselloSergio Salerno

subject

urogenital systemGenitourinary systembusiness.industrymedia_common.quotation_subjectObstetrics and GynecologyAnatomyBlind vaginamedicine.diseaseMr imagingUterus didelphysMesonephric ductLesionmedicineRadiology Nuclear Medicine and imagingUterus malformation MR imagingmedicine.symptombusinessRenal agenesisMenstrual cyclemedia_common

description

The association of uterus didelphys and unilateral blind vagina with ipsilateral renal agenesis is an infrequent urogenital malformation distinguished by a lesion of the mesonephric duct. In most patients, symptoms are present at the beginning of the menstrual cycle because a transverse vaginal septum on one side obstructs the flow of menses, which consequently collect. Magnetic resonance imaging allows a precise delineation of this congenital abnormality, clearly demonstrating the transverse vaginal septum with hematometrocolpos and uterus didelphys. Extending the magnetic resonance study to the abdomen and employing coronal sections with a wide field of view is important to search for associated renal agenesis or hypoplasia.

https://doi.org/10.1097/00130747-200205000-00008