Table 1.
Details of the study cases
Case | Age (years) | Complaint | Mullerian anomaly | Imaging modality | Management |
---|---|---|---|---|---|
1 | 13 | Severe dysmenorrhea, pain abdomen and mass per abdomen | Uterus didelphys with obstructed left hemivagina with hematocolpos, hematometra, hematosalpinx with left endometriotic cyst with bilateral normal kidneys | Ultrasound, MRI abdomen and pelvis | Laparoscopic left endometriotic cystectomy + vaginoscopic vaginal septum resection |
2 | 15 | Severe dysmenorrhea, pain abdomen | Uterus didelphys left hematometra, hematocolpos with absent left kidney | Ultrasound, MRI abdomen and pelvis | Laparoscopy + vaginoscopic vaginal septum resection |
3 | 17 | Severe dysmenorrhea, pain abdomen | Uterus didelphys left hematocolpos left hematometra with absent left kidney | Ultrasound, MRI abdomen and pelvis | Laparoscopic endometriotic spot fulguration + vaginoscopic vaginal septum resection |
4 | 17 | Severe dysmenorrhea, pain abdomen | Uterus didelphys right hematocolpos right hematometra with absent right kidney | Ultrasound, MRI abdomen and pelvis | Laparoscopy + vaginoscopic vaginal septum resection |
5 | 19 | Severe dysmenorrhea, pain abdomen | Uterus didelphys right hematocolpos right hematometra with absent right kidney | Ultrasound, MRI abdomen and pelvis | Laparoscopic endometriotic spot fulguration + adhesiolysis + vaginoscopic vaginal septum resection |
6 | 20 | Severe dysmenorrhea, pain abdomen | Uterus didelphys right hematocolpos, right hematometra, right hematosalpinx with absent right kidney | Ultrasound, MRI abdomen and pelvis | Diagnostic laparoscopy + hematosalpinx drainage + vaginoscopic vaginal septum resection |
7 | 22 | Severe dysmenorrhea, pain abdomen | Uterus didelphys right hematocolpos with right kidney absent | Ultrasound, MRI abdomen and pelvis | Laparoscopy + vaginoscopic vaginal septum resection |
8 | 41 | Severe dysmenorrhea, pain abdomen | Uterus didelphys left hematocolpos left hematometra with absent left kidney | Ultrasound abdomen and pelvis | Total laparoscopic hysterectomy + hematocolpos drainage + laparoscopic vaginal septum resection |