A Misdiagnosed Case of Uterine Didelphys with Obstructed Hemivagina with Ipsilateral Renal Agenesis: A Case Report

The association of uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis is a syndrome known as Ohvira syndrome.The initial diagnosis in most cases is incorrect because of it's low incidence and little clinical suspicion.It is usually diagnosed after menarche with the presence of dysmenorrhea, pelvic pain and a palpable abdominal mass secondary to hematocolpos.The diagnosis can only be made if the syndrome is suspected.The ultrasound and MRI are the diagnostic techniques.Surgical resection of the obstructed vaginal septum is the definitive treatment and prevents possible complications.We present the case of a 18 year-old girl who presented with chronic pelvic pain followed by heavy yellowish white vaginal discharge.She was suffering from a chronic pelvic pain since a year which was misdiagnosed by a local doctor and was given a symptomatic treatment.