Uterus Didelphys with Obstructed Hemivagina: A Report of Three Cases

We present the cases of three young women (aged 11, 14, and 16 years) who had uterus didelphys with obstructed hemivagina and ipsilateral renal anomaly syndrome. In all cases, we evaluated the anomaly by performing clinical, ultrasonography or computed tomography, and magnetic resonance imaging. Assessment was based on the standard Müllerian classification system. Although obstructed hemivagina and ipsilateral renal anomaly syndrome is a rare anomaly of paramesonephric and mesonephric ducts, it should be considered in the differential diagnosis of young women presenting with cyclic abdominal pain after menarche and a pelvic mass. Magnetic resonance imaging is a useful diagnostic tool for early and accurate classification of Müllerian duct anomalies, such as obstructed hemivagina and ipsilateral renal anomaly syndrome, and can reduce the need for surgical diagnostic methods in these young women.