PMC3502826_01
Abdomen examination.
CRIM.UROLOGY2012-324510.001.jpg
PMC3502826_01_CRIM.UROLOGY2012-324510.001.jpg
fig1
On physical examination (Figure 1), she presented with lower midline and Pfannenstiel scars due to previous procedures, pubis diastasis, bifid clitoris, stenotic and anteriorly displaced vagina, and short perineum with the anus directly behind the urogenital diaphragm.
Preoperative CT scan.
CRIM.UROLOGY2012-324510.002.jpg
PMC3502826_01_CRIM.UROLOGY2012-324510.002.jpg
fig2
A severe bilateral hydronephrosis, greater on the left, associated to a compression of renal parenchyma, was apparent at ultrasonography (US) and was confirmed at the CT scan (Figure 2), with an AP pelvic diameter of 33 mm on the right and 43 mm on the left.