A 17-year-old nulligravida female presented to a regional emergency department for evaluation of left-lower-quadrant bulging and pain. She reported progressively increasing lower abdominal distension, with pain as well as discomfort over the prior two months, which was cyclically associated with the onset of menses. The patient additionally reported symptoms of increased urinary frequency and urgency in addition to constipation. On review, she denied fever, abnormal vaginal discharge, or perceived change in menstrual flow.

Image from Radiology.casereports.net  (link)

17-year-old girl with uterine didelphys associated with OHVIRA syndrome. Sagittal T2-weighted MR image demonstrates a dilated hemivagina with low T2-signal-intensity contents and corresponding high T1-signal intensity consistent with blood product.

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