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Uterus didelphys with an obstructed unilateral vagina by a transverse vaginal septum associated with ipsilateral renal agenesis, duplication of inferior vena cava, high-riding aortic bifurcation, and intestinal malrotation: a case report Ayhan Coskun, M.D., Nazan Okur, M.D., Ozgur Ozdemir, M.D., Gurkan Kiran, M.D., Deniz Cemgil Arýkan, M.D. Fertility and Sterility Volume 90, Issue 5, Pages 2006.e e11 (November 2008) DOI: /j.fertnstert Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions
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Figure 1 Multiplanar reformation CT images: Duplication of the inferior vena cava, the (a) right-sided (arrow) and (b) left-sided (arrow) inferior vena cava extending upward in (c) each paravertebral region join (asterisk) through the left renal vein suprarenally into a single trunk which continues as intrahepatic inferior vena cava segment superiorly. Note the hematometra in pelvic region. Fertility and Sterility , 2006.e e11DOI: ( /j.fertnstert ) Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions
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Figure 2 Three-dimensional computed tomography image. Aortic bifurcation is at the level of the second lumbar vertebral body inferior endplate. The right kidney is absent (agenesis) with associated compensatory left renal hypertrophy. The ascending colon (left arrow), which should normally be seen on the right side of the abdomen, is centrally located, and the caecum (right arrow) is malpositioned in the bony pelvis (intestinal malrotation). Fertility and Sterility , 2006.e e11DOI: ( /j.fertnstert ) Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions
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