Diagnosis and treatment of a communicating uterus didelphys with an atretic hemivagina: Utility of 3-dimensional and intraoperative sonography

The specific association of a uterus didelphys, an obstructed hemivagina, and an absent ipsilateral kidney was first described by Wilson(1) in 1925. Since that time, the constellation of a uterus didelphys, an obstructed hemivagina, and sometimes an absent ipsilateral kidney has been reported as presenting with a concurrent cyclical vaginal mass,(1-7) hematocolpos,(1-8) a foul vaginal discharge 2,3, 9,10 intermenstrual bleeding,(2,1,1) acute abdominal pain 2,5,7,8 and urinary Symptoms.(4) Methods for resection of the transverse vaginal septum have been proposed, and successful term pregnancy after resection has been reported.(2,4,10).