PDF(Pubmed)
Abstract：
A patient in her early 20s presented with constant and progressive lower abdominal and back pain, mainly on the right side of the abdomen, purulent vaginal discharge and pyrexia. A radiological assessment revealed a possible tubo-ovarian abscess and the incidental diagnosis of ipsilateral renal agenesis. The patient was treated for pelvic inflammatory disease (PID); however, after antibiotic administration and since the symptoms did not resolve, an abdominal MRI was requested, which revealed uterus didelphys with two cervices, an obstructed haemivagina and evidence of haematocolpos. The diagnosis of Obstructed Hemi-Vagina with Ipsilateral Renal Agenesis (OHVIRA) syndrome was confirmed, and the patient underwent the excision of the vaginal septum, the drainage of the haematopyocolpos and the laparoscopic drainage of the tubo-ovarian abscess. She achieved a good recovery.
摘要：
一名20岁出头的患者表现出持续不断的进行性下腹部和背部疼痛，主要在腹部的右侧,脓性阴道分泌物和发热。放射学评估显示可能存在输卵管卵巢脓肿，并偶然诊断为同侧肾发育不全。患者接受盆腔炎（PID）治疗；然而，服用抗生素后，由于症状没有缓解，需要腹部核磁共振,显示子宫有两个宫颈，血阴道阻塞和血阴道的证据。诊断为伴有同侧肾发育不全（OHVIRA）综合征的半阴道阻塞，患者接受了阴道隔切除术，血液活检的引流和输卵管卵巢脓肿的腹腔镜引流。她恢复得很好。
