Complete septate uterus, obstructed hemivagina, and ipsilateral renal anomaly: pregnancy course complicated by a rare urogenital anomaly

Archives of Gynecology and Obstetrics
Valerie I ShavellJay M Berman

Abstract

Abnormalities of the female reproductive tract are associated with a multitude of intrapartum complications. In the case that follows, we report the complicated pregnancy course of a woman diagnosed postpartum with the uncommon syndrome of obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) associated with a complete septate uterus. A 19-year-old nulliparous woman with a history of a right nephrectomy secondary to multicystic dysplastic kidney disease presented with premature rupture of membranes at 30 weeks' gestation. After failed induction of labor at 34 weeks' gestation, a uterine anomaly was discovered at the time of cesarean section. Magnetic resonance imaging performed postpartum revealed a complete septate uterus, longitudinal vaginal septum, and obstructed right hemivagina. The OHVIRA syndrome is classically associated with uterus didelphys, not complete septate uterus as in this woman. This case illustrates the potential for intrapartum complications in women with abnormalities of the urogenital tract.

References

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Citations

Jan 1, 2011·BMJ Case Reports·Ana Cristina AveiroConceição Freitas
Feb 24, 2016·Urology·Amanda Saltzman, Christopher Roth
May 12, 2010·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·H TakagiA Imai
Jan 17, 2016·Journal of Pediatric and Adolescent Gynecology·Jessica H SelterLisa Kolp
May 25, 2011·Fertility and Sterility·Divya K Shah, Marc R Laufer
Jun 10, 2011·Reproductive Biomedicine Online·Gerard S Letterie
Aug 6, 2018·BMJ Case Reports·Manju Lata VermaPushpa Lata Sankhwar
Oct 4, 2020·International Journal of Environmental Research and Public Health·Mateusz KozłowskiAneta Cymbaluk-Płoska
Jul 5, 2013·The American Journal of Case Reports·Guido Santacana-LaffitteEdgar Colon
Nov 2, 2019·Journal of Medical Case Reports·Dilruba Sharmen NishuSartaj Begum
Dec 19, 2018·BMC Pregnancy and Childbirth·Stefania CappelloMaria Giovanna Salerno
Feb 23, 2021·BJR Case Reports·HarSumeet Singh Sidhu, Prateek Kumar Madaan

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