PMC5181573_01
(USG of the abdomen and pelvis) - showing an absent left kidney, uterus didelphys, haematometra in the left uterine horn.
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USG of the abdomen and pelvis revealed: absence of the left kidney in the left renal fossa which was occupied by bowel loops (Figure 1B) The right kidney showed mild compensatory hypertrophy and measured 11x5.6 cm (Figure 1A). The left uterine cavity and cervical canal showed a hypoechoic collection with multiple internal echoes suggestive of haematometra and haematotrachelos (Figure 1C, 1D). The right uterine horn and cervical canal appeared normal (Figure 1C).
(Coronal STIR abdomen and pelvis) - showing absent left kidney with mild compensatory hypertrophy of the right kidney.
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The right kidney showed mild compensatory hypertrophy (Figure 2).
(Sagittal T2WI pelvis) - showing normal right uterine horn, haematometra and haematocervix in the left uterine horn and haematosalpinx overlying the urinary bladder dome.
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The right cervix appeared normal (Figure 3A). T1WI, T1 FAT SAT; it showed intermediate signal intensity on T2WI suggestive of blood - suggestive of haematometra and haematotrachelos (Figure 4A, 4C, 4D, 5). The lower end of fluid collection in the cervix showed inferior convexity - suggestive of obstruction at the level of the cervix or proximal hemivagina on the left side (Figure 3B).
(T1WI and T2WI coronal pelvis) - showing uterus didelphys, haematometra in the left uterine horn, left haematosalpinx. (A, B) T1W-coronal; (C, D) T2W-coronal.
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T1WI, T1 FAT SAT; it showed intermediate signal intensity on T2WI suggestive of blood - suggestive of haematometra and haematotrachelos (Figure 4A, 4C, 4D, 5). The lower end of fluid collection in the cervix showed inferior convexity - suggestive of obstruction at the level of the cervix or proximal hemivagina on the left side (Figure 3B). T1WI, T1 FAT SAT with intermediate signal intensity on T2WI - suggestive of haematosalpinx (Figure 4B, 4D, 5). The right fallopian tube was not dilated and hence not seen.
(Axial T1FS pelvis [T1 FATSAT]) - showing left haematosalpinx overlying the urinary bladder dome, uterus didelphys, haematometra and haematocervix in the left uterine horn, normal right uterine horn.
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T1WI, T1 FAT SAT; it showed intermediate signal intensity on T2WI suggestive of blood - suggestive of haematometra and haematotrachelos (Figure 4A, 4C, 4D, 5). The lower end of fluid collection in the cervix showed inferior convexity - suggestive of obstruction at the level of the cervix or proximal hemivagina on the left side (Figure 3B). T1WI, T1 FAT SAT with intermediate signal intensity on T2WI - suggestive of haematosalpinx (Figure 4B, 4D, 5). The right fallopian tube was not dilated and hence not seen.