Delayed Diagnosis of Uterus Didelphys Unicolis with Cervical Atresia
in a Forty-Three-Year Old Unmarried Woman with Primary
Amenorrhea

Ahmet KALE, Ahmet YALINKAYA, Nurten AKDENİZ
Diyarbakır-Turkey

Müllerian duct fusion deficiency leads to uterus didelphys. We report the first case of a didelphys-unicolis uterus with atretic cervix in a 43-year-old unmarried woman with a thirty years history of cyclic lower abdominal pain and primary amenhorrea. On abdomino-pelvic ultrasound examination, a diagnosis of pelvic mass was suspected. On exploratory laparotomy, a didelphys-unicolis uterus with atretic cervix was found. Total abdominal hysterectomy and right salpingectomy were performed. To our knowledge, such a late diagnosed uterine didelphys unicolis with cervical atresia case in a 44 years old unmarried woman with primary amenorrhea has not been previously reported
(Gynecol Obstet Reprod Med 2006; 12:223-225)
Key Words: Uterus Didelphys Unicolis, Cervical atresia, Primary Amenorrhea, Advanced age