PMC6323606_01
A) Axial magnetic resonance image (MRI) showing the normal right horn with dilated left uterine horn in a case of uterus didelphys. B) Sagittal image of the same patient showing the normal uterine left cavity. C) Coronal MRI showing the normal right uterine horn with haematometra-filled left uterine horn. D) Axial MRI of the same patient showing the dilated left uterine cavity along with dilated left fallopian tube with haematometra and haematosalpinx
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Magnetic resonance imaging (MRI) was performed which revealed left haematometra, haematocolpos, and haematosalpinx with normal right uterine cavity with complementary sonography revealing absent left kidney (Figure 1).
PMC6323606_02
A) Ultrasonographic (USG) image showing the empty right renal fossa and normal left kidney. B) Pelvic USG image showing the normal left uterine horn and dilated right horn with echogenic contents (hematometra). C) Coronal magnetic resonance image (MRI) showing the normal left kidney and absent right kidney. D) Coronal pelvic MRI showing dilated right uterine horn with haematometra and normal left horn. E) Axial MRI through the pelvis showing the normal left uterine horn with dilated right horn with haematometra
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The patient underwent MRI of the abdomen and pelvis, and findings thereof confirmed uterine didelphys and absent right kidney, and a diagnosis of HWW syndrome was made (Figure 2).
PMC6323606_03
A) Coronal magnetic resonance image (MRI) showing the normal left uterine cavity and grossly dilated right uterine horn with internal haemorrhagic content. B) Coronal MRI in the same patient showing the dilated uterine horn and urinary bladder separately. C) Sagittal MRI showing the normal uterine cavity without haematometra. D) Sagittal MRI showing normal left uterine cavity and a part of dilated right uterine horn
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The patient was referred for MRI of the pelvis to our department, which revealed the findings of uterus didelphys with right haematocolpos and haematometra with absent right kidney (Figure 3).
PMC6323606_04
A) Coronal magnetic resonance image (MRI) showing the normal left kidney and absent right kidney. B-C) Coronal MRI of the same patient showing the grossly dilated right horn with haematometra and normal left uterine cavity
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Coronal scans revealed absent right kidney and normal left kidney (Figure 4).