A CASE OF UNIQUE COMMUNICATION BETWEEN BLIND-ENDING ECTOPIC URETER AND IPSILATERAL HEMI-HEMATOCOLPOMETRA IN UTERUS DIDELPHYS

Uterus didelphys with double vagina and hemi-vaginal atresia is a rare syndrome of congenital anomalies. A 17-year-old girl had a right blin d-ending ectopic ureter, the proximal end of which communicated with t he ipsilateral uterine cervix of uterus didelphys. The patient present ed with vaginal urinary incontinence after incision of the vaginal wal l for right hemi-hematocolpometra. Following various examinations, the ipsilateral kidney was found to be absent. The ectopic ureter and com municating duct were resected, and the fistula was closed. The genesis of malformation of the female genitalia and urinary tract resulting i n such a unique communication is discussed. The importance of preopera tive meticulous examinations, including cysto-genitography, pelvic mag netic resonance imaging and panendoscopy with the patient under anesth esia, is emphasized.