12 year old female presented with history of ureteral re-implantation and severe pelvic pain for a month. Pelvic ultrasound showed a bi-lobed hypoechoic mass in the pelvis markedly distended with internal intermediate and low level echoes and septations suggestive of hematometrocolpos thought to be secondary to imperforate hymen. Subsequent MRI evaluation of the pelvis demonstrated a complete septate uterus with longitudinal vaginal septum, atresia of the lower 1/3 of the vagina, and hematocolpos. The patient was placed on Lupron and referred for reconstructive surgery. Read More

Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016

Authors: Frank Matt, List Jeb, Harris Katherine

Keywords: Septate uterus, longitudinal vaginal septum, Mullerian duct anomaly, Septate uterus MRI, longitudinal vaginal septum MRI