TY - JOUR
TI - CONGENITAL UTERINE ANOMALIES WITH OBSTRUCTED CERVIX, HEMIVAGINA, OR BOTH
DURING ADOLESCENCE - REPORT OF 22 CASES
AU - CREATSAS, G
AU - CARDAMAKIS, E
AU - HASSAN, E
AU - DELIGEOROGLOU, E and
AU - SALAKOS, N
AU - ARAVANTINOS, D
JO - Journal of Gynecologic Surgery
PY - 1994
VL - 10
TODO - 3
SP - 159-167
PB - MARY ANN LIEBERT INC PUBL
SN - 1042-4067, 1557-7724
TODO - 10.1089/gyn.1994.10.159
TODO - null
TODO - The authors present their experience on the rare syndrome of a double
uterus with obstruction.  Between the years 1979 and 1992, the records
of 22 patients with didelphys, bicornuate, or septate uterus with
obstruction at the level of the cervix or the vagina were evaluated and
carefully reviewed.  For each patient, the clinical history features
were examined, and the following procedures were used for further
evaluation and diagnosis:  gynecologic examination, pelvic sonography,
CT or MRI scan, and laparoscopy.  We also presented the surgical
management and obstetric outcome.  Pelvic pain was the most frequent
symptom (54.5%).  Accurate diagnosis was made by laparoscopy in 86.3%
of the patients.  In 18.2% of the patients, endometriosis was detected.
Renal anomalies were seen in 50% of the patients.  Excision of the
vaginal septum and opening of the obstructed cervical os were the most
common surgical procedures performed.  The obstetric outcome in our
series was 4 pregnancies (3 full term and 1 induced abortion). 
Significant postoperative complications were not seen.  Most of the
cases of didelphys, bicornuate, or septate uterus with obstruction are
diagnosed during adolescence.  Periodic pelvic pain and purulent
discharge are common clinical symptoms.  Diagnosis is also based on
pelvic sonography, x-ray tests, and laparoscopy.  Early management and
prompt surgical intervention by skilled medical staff are recommended to
prevent postoperative complications and improve the reproductive
outcome.
ER -