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Query: UMLS:C0000727 (acute abdomen)
 3,084 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

We present a case of a patient with Uterus bicornis bicollis, imperforate hemivagina and ipsilateral renal agenesis. This group of congenital malformations is often asymptomatic until puberty, when it presents as cyclic dysmenorrhoea, leucorrhoea or a pelvic mass. Magnetic resonance imaging is becoming the preferred modality for delineation of uterine malformations. When congenital abnormalities of the reproductive tract are encountered, a search should also be made for renal anomalies. Patients with Uterus bicornis bicollis and unilateral imperforate vagina are often seen with pain severe enough to mimic an acute abdomen. It is important to keep this unusual congenital malformation in mind in the differential diagnosis of vaginal discharge, pelvic mass and/or abdominopelvic pain in young women so as to avoid inappropriate surgical procedures.
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PMID:Uterus bicornis bicollis, imperforate hemivagina and ipsilateral renal agenesis: case report and literature review. 2009 81

Uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis (OHVIRA) or Herlyn-Werner-Wunderlich (HWW) syndrome is a rare congenital urogenital anomaly. A 13-year-old female presented with acute abdominal pain and dysmenorrhea. Ultrasonography and magnetic resonance imaging showed uterus didelphys, hematometrocolpos, obstructed hemivagina, and right renal agenesis. Hemivaginal septal resection and anastomosis between the obstructed hemivagina and the normal vagina was tried, but it was not possible. Unilateral hysterectomy was performed. HWW syndrome may present with acute abdomen and is usually treated with vaginal septum resection and drainage of the hematometrocolpos.
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PMID:OHVIRA syndrome presenting with acute abdomen: a case report and review of the literature. 2446 69

Uterus bicornuate unicollis is one of the various congenital abnormalities of the female genital tract caused by partial fusion of the mullerian ducts on both sides. A case of acute abdomen resulting from missed diagnosed bicornuate unicollis uterus in a 42-year infertile women was presented. The ultrasonographic diagnosis of twisted complex left adnexial cyst was made prior to exploratory laparotomy. However, findings at laparotomy revealed a non-communicating bicornuate unicollis uterus with damaged right tube (hyrosalpinx) and normal ovaries and left tube. A blind-ended rudimentary left sided uterine horn was excised with the ovary spared and the right sided hydrosalpinx disconnected using chromic 1. Patient was however counselled for in vitro fertilization.
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PMID:Missed Diagnosed Bicornuate Unicollis Uterus Presenting As Acute Abdomen. 2607 Aug 29