case_images: PMC10896646_01
case_images: (a) Frontal radiographic just after contrast injection through vaginal cannula: opacification of tubular shape of the endometrial cavity to the right side of the pelvis raising the possibility of unicornuate uterus. (b) Frontal radiographic after few minutes of contrast injection through vaginal cannula: opacification of a tract to towards left side likely at lower cervix or upper vagina and subsequent opacification of second endometrial cavity in the left side. There is also opacification of left hemivagina caudally which is distended due to blind end. (c) Delayed frontal radiograph for evaluation of fallopian tubes. No opacification of fallopian tube is noted in either side.
case_images: CRIRA2024-1055130.001.jpg
case_images: PMC10896646_01_CRIRA2024-1055130.001.jpg
case_images: fig1
case_images: In the early image, a tubular shape of the endometrial cavity was opacified in the right side which was raising the possibility of unicornuate uterus (Figure 1(a)); however, at later images, there was a tract going to the left side of the midline with subsequent opacification of the second endometrial canal cranially and the left hemivagina caudally (Figure 1(b)). Nonopacification of the fallopian tubes was seen in either side at delayed images (Figure 1(c)) suggesting bilateral blocked fallopian tubes.
case_images: (a) Gray-scale ultrasound image of left renal lodge with nonvisualization of the left kidney. (b) Gray-scale ultrasound image of right renal lodge showing relatively compensatory prominent size of right kidney. (c) Gray-scale ultrasound image of the pelvis showing both uterine bodies. No dilatation of the endometrial canals (white arrowheads).
case_images: CRIRA2024-1055130.002.jpg
case_images: PMC10896646_01_CRIRA2024-1055130.002.jpg
case_images: fig2
case_images: Considering these findings, a complementary ultrasonography (USG) was performed for the patient to look for the kidneys, which showed an absent left kidney and compensatory prominent size of right kidney (Figures 2(a) and 2(b)). No dilatation of the endometrial canals was present (Figure 2(c)).
case_images: Schematic representation of the patient's pathology: uterus didelphis with obstructed left hemivagina and ipsilateral renal agenesis.
case_images: CRIRA2024-1055130.003.jpg
case_images: PMC10896646_01_CRIRA2024-1055130.003.jpg
case_images: fig3