case_images: PMC10162894_01
case_images: A) axial view CT scan image showing uterus didylphus with hematometra and hematocolpos of the right side (red arrows); the left horn was apparently normal (yellow arrow); B) coronal view
case_images: PAMJ-44-79-g001.jpg
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case_images: F1
case_images: At our center, a contrast-enhanced computed tomogram scan of the abdomen was obtained that revealed uterine didelphys with distended right endometrial cavity along with obstructed right hemivagina and hematocolpos (Figure 1).
case_images: A) coronal view CT scan showing a large endometriotic cyst arising from the right ovary and reaching up to the epigastrium (red arrow); cyst was displacing the small bowel loops cranially; B) sagittal view
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case_images: F2
case_images: A large ovarian cystic lesion (13 x 21 x 22 cm) was seen, extending up to the level of the pancreas, displacing the bowel loops (Figure 2).
case_images: the right renal agenesis was noted on the computed tomography image; the left kidney was hypertrophic (arrow)
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case_images: F3
case_images: The right kidney could not be visualized (Figure 3).
case_images: a large cyst arising from the pelvis was encountered during laparoscopy; cyst was aspirated completely; the distended right uterine horn then could be visualized in the pelvis (arrow)
case_images: PAMJ-44-79-g004.jpg
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case_images: F4
case_images: Diagnostic laparoscopy revealed a large cystic lesion occupying most of the abdominal cavity (Figure 4).
case_images: approximately 4 liters of chocolate-colored fluid was aspirated from the endometriotic cyst
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case_images: F5
case_images: The cyst was then punctured in a controlled fashion and the content was aspirated; approximately four liters of chocolate-colored fluid was suctioned (Figure 5).
case_images: laparoscopic view of pelvis after removal of endometriotic cyst: uterus didelphys with distended right uterine horn (red arrow) and normal left horn (left horn); left ovary appeared normal (green arrow)
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case_images: F6
case_images: The bifid uterus was seen with a distended, enlarged right horn and a small left horn (Figure 6).
case_images: right hemihysterectomy was performed preserving the left uterine horn
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case_images: F7
case_images: The obstructed right horn was then excised using an ultrasonic shear device and the stump was closed with polypropylene sutures (Figure 7).