Abstract

Zineb Bennani*, Fatima Ameqrane, Amal Benchine and Samir Bargach

ABSTRACT

The didelphic uterus with blind hemivagina is a rare malformation, often diagnosed just after the first period. The occurrence of a hematocolpos associated with hematometry and sometimes hematosalpinx is responsible for pelvic pain and increasingly disabling dysmenorrhea. The diagnosis is made by pelvic ultrasound and, depending on the urgency, by magnetic resonance imaging; renal agenesis ipsilateral is constant in this type of malformation. The treatment consists of a wide resection of the vaginal septum thus allowing a continuous drainage of the retention hemiuterus associated with a laparoscopy showing the tubal and pelvic repercussions. We report a case of didelphys uterus with blind hemivagina diagnosed at the age of 20 and we will discuss through this case, the clinical, diagnostic and therapeutic aspects of this uterine malformation.