PMC3700479_01
MDCT with IV contrast of the Abdomen and Pelvis shows two distinct uterine cavities with a dilated left cavity (yellow arrows). A tortuous and dilated left fallopian tube is also seen (red arrows). Both uterine cavities and the fallopian tube show hypodense intraluminal fluid (white asterisk).
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Since the actual films where not available for review, an abdomino-pelvic CT was subsequently performed at our institution, which showed 2 distinct uterine cavities (Figure 1), hydrometrocolpos, intestinal malrotation with the jejunum in the right upper quadrant without evidence of obstruction, multiple bilateral renal cyst-like lesions (Figures 2 and 3), and a left retroaortic renal vein.
MDCT with IV contrast of the abdomen and pelvis shows a hypodense well circumscribed lesion in the right kidney favoring a simple renal cyst (yellow arrow). Other similar lesions were seen in the same kidney, not shown.
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Since the actual films where not available for review, an abdomino-pelvic CT was subsequently performed at our institution, which showed 2 distinct uterine cavities (Figure 1), hydrometrocolpos, intestinal malrotation with the jejunum in the right upper quadrant without evidence of obstruction, multiple bilateral renal cyst-like lesions (Figures 2 and 3), and a left retroaortic renal vein.
MDCT with IV contrast of the abdomen and pelvis shows a hypodense well circumscribed lesion in the left kidney favoring a simple renal cyst (yellow arrow). Other similar lesions were seen in the same kidney, not shown.
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PMC3700479_01_amjcaserep-14-153-g003.jpg
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Since the actual films where not available for review, an abdomino-pelvic CT was subsequently performed at our institution, which showed 2 distinct uterine cavities (Figure 1), hydrometrocolpos, intestinal malrotation with the jejunum in the right upper quadrant without evidence of obstruction, multiple bilateral renal cyst-like lesions (Figures 2 and 3), and a left retroaortic renal vein.
Fluid sensitive Pelvic MRI sequence shows two distinct uterine cavities with a dilated left uterine cavity (yellow arrows). A tortuous and dilated fallopian tube is also seen (red arrows). Hyperintense material is visualized within the uterine cavities and fallopian tube (asterisks)
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MRI with contrast was ordered for clarification. MRI was performed and showed a duplicated uterus, which was consistent with uterus didelphys, and a rudimentary left cervix associated with distention of the left uterine cavity and left fallopian tube (hematometra and hematosalpinx) (Figures 4 and 5).
Fluid sensitive MRI sequence shows a sausage shaped mass in the pelvis representing a folded and tortuous fallopian tube (yellow arrows).
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MRI with contrast was ordered for clarification. MRI was performed and showed a duplicated uterus, which was consistent with uterus didelphys, and a rudimentary left cervix associated with distention of the left uterine cavity and left fallopian tube (hematometra and hematosalpinx) (Figures 4 and 5).
UGIS shows small bowel malrotation (yellow arrows).
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The GI series confirmed jejunal mal-rotation (Figure 6).