{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:40:01Z","timestamp":1756374001785,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>The study described diagnostic and therapeutic processes for an exceptional congenital female genital anomaly involving a 15-year-old girl with progressive dysmenorrhoea and intense abdominal pain, and analyses pathogenesis of embryological anomalies associated with uterine duplicity (UD). Diagnostic methodology is analysed; treatment is described; and recommendations are provided. For the study of anomalies such as UD, we recommend the use of an ultrasound, vaginoscopy, MRI and laparoscopy imaging. Keeping in mind that hemihysterectomy should only be performed in cases with endometriosis or other unusual circumstances, surgical treatment should be avoided. A complete study based on gynaecological examination and ultrasound should be performed in adolescents with severe and progressive dysmenorrhoea. Based on the findings, imaging tests such as MRI and, if necessary, laparoscopy coinciding with menstruation, should be conducted before opting for surgical treatment.<\/jats:p>","DOI":"10.1136\/bcr-2013-200923","type":"journal-article","created":{"date-parts":[[2013,9,30]],"date-time":"2013-09-30T06:54:39Z","timestamp":1380524079000},"page":"bcr2013200923","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Uterine duplicity without communication between both hemiuteri and cervicovaginal atresia: importance of a thorough diagnosis before treatment"],"prefix":"10.1136","volume":"2013","author":[{"given":"Juan Carlos","family":"Mart\u00ednez-Escoriza","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, University General Hospital of Alicante, Alicante, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Palacios-Marqu\u00e9s","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University General Hospital of Alicante, Alicante, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Bel\u00e9n","family":"Oliva-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University General Hospital of Alicante, Alicante, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hortensia","family":"Ballester-Galiana","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University General Hospital of Alicante, Alicante, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,9,30]]},"reference":[{"key":"2025082802072175000_2013.sep29_1.bcr2013200923.1","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1093\/humupd\/dmr021","article-title":"The history of female genital tract malformation classifications and proposal of an updated system","volume":"2013","author":"Aci\u00e9n","year":"2011","journal-title":"Hum Reprod Update"},{"key":"2025082802072175000_2013.sep29_1.bcr2013200923.2","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1016\/j.ejogrb.2011.09.008","article-title":"Congenital vesicovaginal fistula with menouria. An anomaly of the urogenital sinus","volume":"2013","author":"Mart\u00ednez Escoriza","year":"2011","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"2025082802072175000_2013.sep29_1.bcr2013200923.3","doi-asserted-by":"crossref","first-page":"785","DOI":"10.1007\/s00404-012-2392-5","article-title":"Diagnostic challenges of hemihematocolpos and dysmenorrhea in adolescents: obstructed hemivagina, didelphys or bicornuate uterus and renal aplasia is a rare female genital malformation","volume":"2013","author":"Tzialidou-Palermo","year":"2012","journal-title":"Arch Gynecol Obstet"},{"key":"2025082802072175000_2013.sep29_1.bcr2013200923.4","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1186\/1471-2342-12-4","article-title":"Herlyn-Werner-Wunderlich syndrome: MRI findings, radiological guide (two cases and literature review), and differential diagnosis","volume":"2013","author":"Del Vescovo","year":"2012","journal-title":"BMC Med Imaging"},{"key":"2025082802072175000_2013.sep29_1.bcr2013200923.5","first-page":"9","article-title":"Herlyn-Werner-Wunderlich syndrome: a rare presentation with pyocolpos","volume":"2013","author":"Cox","year":"2012","journal-title":"J Radiol Case Rep"},{"key":"2025082802072175000_2013.sep29_1.bcr2013200923.6","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1016\/j.fertnstert.2010.02.030","article-title":"Congenital malformations of the female genital tract: the need for a new classification system","volume":"2013","author":"Grimbizis","year":"2010","journal-title":"Fertil Steril"},{"key":"2025082802072175000_2013.sep29_1.bcr2013200923.7","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1007\/s10397-011-0724-2","article-title":"Clinical approach for the classification of congenital uterine malformations","volume":"2013","author":"Grimbizis","year":"2012","journal-title":"Gynecol Surg"},{"key":"2025082802072175000_2013.sep29_1.bcr2013200923.8","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1002\/uog.7551","article-title":"Three-dimensional ultrasound in the diagnosis of M\u00fcllerian duct anomalies and concordance with magnetic resonance imaging","volume":"2013","author":"Bermejo","year":"2010","journal-title":"Ultrasound Obstet Gynecol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-200923","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:07:31Z","timestamp":1756372051000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-200923"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,9,30]]},"references-count":8,"alternative-id":["10.1136\/bcr-2013-200923"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-200923","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,9,30]]}}}