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

Valerie I. Shavell, Samantha E. Montgomery, Samuel C. Johnson, Michael P. Diamond, Jay M. Berman

Research output: Contribution to journalArticlepeer-review

28 Scopus citations

Abstract

Background: 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. Case: 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. Conclusion: 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.

Original languageEnglish (US)
Pages (from-to)449-452
Number of pages4
JournalArchives of Gynecology and Obstetrics
Volume280
Issue number3
DOIs
StatePublished - Sep 1 2009
Externally publishedYes

Keywords

  • Complete septate uterus
  • Longitudinal vaginal septum
  • Multicystic kidney disease
  • Müllerian anomaly
  • OHVIRA
  • Obstructed hemivagina

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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