An Unusual Presentation of Uterine Didelphys and Obstructed Hemivagina

Sloane Berger-Chen, Jessica M.B. Ritch, Jin Hee Kim, John Evanko, Terry W. Hensle

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Background: Congenital disorders of the genitourinary system can be unpredictable. There are both medical and surgical interventions that can help manage symptoms. Case: A 10-year-old girl was evaluated 6 months post-menarche with dysuria and pelvic pain. Her symptoms were not relieved with menstrual suppression. Evaluation revealed a probable ectopic ureter versus ureterocele and uterine didelphys with suspicion for obstructed hemivagina and hematocolpos. Surgical exploration revealed an obstructed hemivagina with a high vaginal septum. When resection failed, she ultimately underwent a robot-assisted hemihysterectomy, with resolution of her symptoms. Summary and Conclusions: In this case presentation, a surgical approach was necessary to adequately make a diagnosis. When vaginal septum resection failed, robot-assisted laparoscopic hemi-hysterectomy and resection of a vaginal pouch led to symptom resolution in this pediatric patient with a complex anomaly.

Original languageEnglish
Pages (from-to)e129-e131
JournalJournal of Pediatric and Adolescent Gynecology
Issue number6
StatePublished - Dec 2012
Externally publishedYes


  • Hemihysterectomy
  • Obstructed hemivagina
  • Robotic surgery
  • Uterine didelphys


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