Reconstructive surgical management of cryptomenorrhea because of complex uterovaginal malformations with duplicate uterus and complete vaginal agenesis

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Presentation transcript:

Reconstructive surgical management of cryptomenorrhea because of complex uterovaginal malformations with duplicate uterus and complete vaginal agenesis Christina Fotopoulou, M.D., Ph.D., Nicole Gehrmann, M.D., Jalid Sehouli, M.D., Werner Lichtenegger, Ph.D. Fertility and Sterility Volume 94, Issue 6, Pages 2329.e13-2329.e16 (November 2010) DOI: 10.1016/j.fertnstert.2010.03.058 Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions

Figure 1 Magnetic resonance imaging photos of the pelvis in a patient with uterus bicornis unicollis and complete vaginal agenesis. Both uterine horns are dilated and with menstrual blood residuals because of obstruction. Fertility and Sterility 2010 94, 2329.e13-2329.e16DOI: (10.1016/j.fertnstert.2010.03.058) Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions

Figure 2 Correlated intraoperative situs of the patient with uterus bicornis unicollis and complete vaginal agenesis, presented in Figure 1. Hemoperitoneum in the pouch of Douglas and hemosiderosis on the bladder peritoneum caused by chronic retrograde menstruation can be identified. Fertility and Sterility 2010 94, 2329.e13-2329.e16DOI: (10.1016/j.fertnstert.2010.03.058) Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions