PMC10033835_01
Transabdominal ultrasound. (A) right uterus and vagina, longitudinal scan; (B) both vaginas, dilated aspect, with "low-level" content, in in a transverse scan.
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F1
Gemelli, Rome, Italy, a didelphys uterus and double vaginas with bilateral hematocolpos were diagnosed through transrectal and transabdominal ultrasound (Figure 1).
Endoscopy, ureters. (A) left ureter; (B) right ureter; (C) cannulated left ureter.
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F2
The right ureter was cannulated and described as normal; the left ureter could only be cannulated for a few centimeters after entering in the bladder, demonstrating the presence of a complete obstruction (Figure 2).
Endoscopy. (A) left vaginal ostia on the PUGS lateral-posterior wall; (B) right vaginal ostia on the PUGS on the lateral posterior-wall; (C) left endocervix.
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F3
Cervices were normal and both cervical canals were covered by endocervical glandular epithelial lining (Figures 3, 4).
Schematic representation of PUGS and the associated Mullerian malformation.
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F4
Cervices were normal and both cervical canals were covered by endocervical glandular epithelial lining (Figures 3, 4).