Presentation of Cases Case 1: 15 year old Hispanic female, G0P0, presented with Primary dysmenorrhea, mullerian anomaly and solitary kidney. [medcraveonline.com]

Our patient presented at the age of 23 which was unusual given that it tends to present shortly after menarche with pelvic pain and/or a mass and rarely, in later years, with primary infertility [ 4, 7,8 ]. [avensonline.org]

At 41 weeks the patient presented for planned induction of labour. [scirp.org]

Conclusions : A diagnostic and therapeutic algorithm for young women presenting with progressive dysmenorrhea and abdominal pain and/or vaginal tumor reduces destructive interventions. [pubfacts.com]

A 16-year-old adolescent girl presented withchronic pelvic pain. [myslide.es]

• Collapse

  Full pelvic assessment at 36 weeks was complicated by inability to identify the vaginal septum since the smaller vaginal wall had collapsed. On repeat pelvic exam at 40 weeks and 6 days GA, a thin, stretchy complete vertical septum was identified. [scirp.org]

• Sudden Infant Death Syndrome

  Updated discussion of Sudden Infant Death Syndrome brings a new focus to the important topic of infant sleeping environments. [books.google.com]

• Malaise

  After the second session of dilatation, the patient had fever 39oC and general malaise during 15 days but without any other associated signs or symptoms. Blood, urine and cerebrospinal fluid cultures were all negative. [jpss.eu]

• Chronic Abdominal Pain

  Upon menarche, this can lead to an accumulation of menstrual blood in the vagina (hematocolpos) and uterus (hematometrocolpos), presenting as chronic abdominal pain [1] [2]. [scirp.org]

• Torticollis

  […] nerve palsies; chest and spinal deformations; head and neck deformations; craniosynostosis and cranial bone variations; problems associated with abnormal birth presentation, birth palsies, and procedure-related defects; infant head shape variations; and torticollis [books.google.com]

• Joint Dislocation

  Addresses a full range of lower extremity deformations ; joint dislocations; nerve palsies; chest and spinal deformations; head and neck deformations; craniosynostosis and cranial bone variations; problems associated with abnormal birth presentation, [books.google.com]

• Cervical Incompetence

  Seeing as cervical incompetence occurs in up to 30% of all MDAs, it has been suggested to screen for and assess the need for cerclage in all pregnant patients with an MDA [18] [24] [25] [26]. [scirp.org]

  Hysteroscope could be easily negotiated through cervical canal probably because of the associated cervical incompetence and the canal was normal. The right uterine cavity with the right ostium was seen. [mjdrdypu.org]

  It has been suggested that increasing intrauterine pressure with relative cervical incompetence may be responsible for premature delivery, whereas habitual abortion may be the result of a poor blood supply to the endometrium through the septum. 32 It [glowm.com]

• Vaginal Discharge

  OHVIRA may present as abnormal vaginal discharge, infertility, vomiting, and fever. [omicsonline.org]

  She also had complaints ofoccasional vaginal discharge with negative cultures.Patient had no urinary or gastrointestinal symptoms.On physical examination: Chest, heart and neckexam were within normal limits. [myslide.es]

  She attained menarche at the age of 13 years and had a normal menstrual history with no complaints of excessive dysmenorrhoea, dyspareunia, or vaginal discharge. Routine hematological laboratory tests were normal. [ijri.org]

• Vaginal Bleeding

  She also experienced ongoing secondary post-partum haemorrhaging with persistent vaginal bleeding and passing several large clots up to 6 weeks post partum. [scirp.org]

  On day 23, the patient had profuse vaginal bleeding. She was transfused blood and transferred to tertiary hospital. The patient was pale and febrile. She had a healed Pfannenstiel scar, bulky and soft uterus with minimal bleeding. [jpgo.org]

• Adnexal Mass

  It can be difficult to differentiate a hematometra with thin, stretched myometrium from hemorrhagic adnexal masses [ 10 ]. [omicsonline.org]

  Therefore, the detection of a hydrosalpinx within a complex adnexal mass may aid in the differential diagnosis 87. [slideshare.net]

• Enlarged Uterus

  Examination under anesthesia (EUA) is a crucial step prior to VH as surprises like enlarged uterus or adnexal pathology may be encountered. [jpgo.org]

The workup and operative findings will be described, followed by a classification and discussion of other obstructive Müllerian anomalies. The incidence, workup, and management will be reviewed. [scienceopen.com]

[…] fibroids and for the treatment of ab normal uterine bleeding by endometrial ablation. [books.google.com]

The treatment for OHVIRA syndrome is obviously surgical. It consists on the resection of the vaginal septum in order to relieve the obstructed hemivagina. Some teams opt for treatment in two stages. [omicsonline.org]

A new classification, based on degree of failure of normal development, was used in separating the anomalies into groups with similar clinical manifestations, treatment, and prognosis for fetal salvage. [scienceopen.com]

Prompt diagnosis and treatment is needed to ensure relief of symptoms, prevention of infection and preservation of fertility. [medcraveonline.com]

Examines the initial clinical approach to suspected deformation problems, and then walks you through pathogenesis, diagnostic features, management, prognosis, and counseling for each condition. [books.google.com]

A new classification, based on degree of failure of normal development, was used in separating the anomalies into groups with similar clinical manifestations, treatment, and prognosis for fetal salvage. [scienceopen.com]

Uterus didelphys with an imperforate hemivagina is the least common abnormality of the Mullerian ducts, but has the best prognosis in terms of alleviation of symptoms and future fertility of these patients. [omicsonline.org]

The impact of these malformations can be limited thanks to the surgical and/or endoscopic treatment that improves the obstetric prognosis. [scirp.org]

However, another important criterion, which could be taken into account, is patient’s prognosis. [gynecolsurg.springeropen.com]

Incidence of 1/5000 female births Present with primary amenorrhea Normal ovarian function, normal sexual development BUT Absent vagina or absent/abnormal mullerian structures Must differentiate from androgen insensitivity syndrome (AIS) Etiology not known [brainscape.com]

The pathophysiology of these malformations is known but the etiologies remain obscure and few studies have been interested. Its frequency in uterine malformations varies from 39% to 45%. [scirp.org]

The etiology may lie in a local abnormality of the vaginal mesoderm or in the lack of canalization of the epithelial vaginal plate. [glowm.com]

• MR can also help in finding the etiology of hydrosalpinx. If hydrosalpinx is due to endometriosis, signal intensity characteristics of the tubal fluid are similar to those in endometriomas (high T1 and low T2 signal intensities). [slideshare.net]

[…] at the neck of the pseudoaneurym together with turbulent flow helps to confirm the diagnosis. [2] Pseudoaneurysm of uterine artery after cesarean section diagnosed sonographically has been reported by Henrich et al. [8] Accurate diagnosis of vascular etiology [jpgo.org]

Children’s Exposure to Diagnostic Medical Radiation and Cancer Risk: Epidemiologic and Dosimetric Considerations. Pediatr Radiol 2009;39(Suppl 1):S4. 20. Richards JR, Knopf NA, Wang L, et al. [jpss.eu]

The role of imaging techniques and adequate... article Diagnosis and laparoscopic treatment of an unusual case of advanced extragenital endometriosis Endometriosis is considered to be a benign gynaecological disorder, although several pathophysiological [infona.pl]

The pathophysiology of these malformations is known but the etiologies remain obscure and few studies have been interested. Its frequency in uterine malformations varies from 39% to 45%. [scirp.org]

Obstructive anomalies prevent normal menstruation, allow for collection of blood in the uterus and the vagina, and may increase the incidence of retrograde menstruation. [scienceopen.com]

Prompt diagnosis and treatment is needed to ensure relief of symptoms, prevention of infection and preservation of fertility. [medcraveonline.com]

Other newer surgical treatmentmodalities that have been recently attempted forcombined cervicovaginal agenesis include creationof neocervical and neovaginal canals using colon con-duit or prefabricated pudendal thigh flap.7,8 Althoughhysterectomy prevents [myslide.es]

Early and accurate diagnosis is important because resection of the obstructing vaginal septum provides pain relief and prevents complications like endometriosis, pelvic adhesions pyocolpos, pyometra and pyosalpinx Once treated fertility is not affected [slideblast.com]

Endoscopic excision of the obstructed vaginal septum is the gold-standard treatment that can completely relieve the symptoms and prevent further sequelae. [docslide.net]