Grimbizis GF, Campo R. Congenital malformations of the female genital tract: the need for a new classification system. Fertil Steril. 2010;94(2):401–7. https://doi.org/10.1016/j.fertnstert.2010.02.030.

Article  PubMed  Google Scholar 

Zurawin RK, Dietrich JE, Heard MJ, Edwards CL. Didelphic uterus and obstructed hemivagina with renal agenesis: case report and review of the literature. J Pediatr Adolesc Gynecol. 2004;17(2):137–41. https://doi.org/10.1016/j.jpag.2004.01.016.

Article  CAS  PubMed  Google Scholar 

O’Flynn O’Brien KL, Bhatia V, Homafar M, Gong YY, Winsten MT, Gerber J, et al. The prevalence of Müllerian anomalies in women with a diagnosed renal anomaly. J Pediatr Adolesc Gynecol. 2021;34(2):154–60. https://doi.org/10.1016/j.jpag.2020.11.015.

Article  PubMed  Google Scholar 

Management of Acute Obstructive Uterovaginal Anomalies. ACOG committee Opinion, number 779. Obstet Gynecol. 2019;133(6):e363–71. https://doi.org/10.1097/aog.0000000000003281.

Article  Google Scholar 

Santos XM, Dietrich JE. Obstructed hemivagina with ipsilateral renal anomaly. J Pediatr Adolesc Gynecol. 2016;29(1):7–10. https://doi.org/10.1016/j.jpag.2014.09.008.

Article  PubMed  Google Scholar 

Han JH, Lee YS, Im YJ, Kim SW, Lee MJ, Han SW. Clinical implications of obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome in the prepubertal age group. PLoS ONE. 2016;11(11):e0166776. https://doi.org/10.1371/journal.pone.0166776.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Acién P, Acién MI. The history of female genital tract malformation classifications and proposal of an updated system. Hum Reprod Update. 2011;17(5):693–705. https://doi.org/10.1093/humupd/dmr021.

Article  PubMed  Google Scholar 

Kapczuk K, Zajączkowska W, Madziar K, Kędzia W. Endometriosis in adolescents with obstructive anomalies of the reproductive tract. J Clin Med. 2023. https://doi.org/10.3390/jcm12052007.

Article  PubMed  PubMed Central  Google Scholar 

Bortoletto P, Romanski PA, Pfeifer SM. Müllerian anomalies: presentation, diagnosis, and counseling. Obstet Gynecol. 2024;143(3):369–77. https://doi.org/10.1097/AOG.0000000000005469.

Article  CAS  PubMed  Google Scholar 

Erkkinen E, Farahzad MM, O’Brien KE, Rosen MW. Pregnancy outcomes in patients with obstructed hemivagina ipsilateral renal agenesis. J Pediatr Adolesc Gynecol. 2023;36(6):545–8. https://doi.org/10.1016/j.jpag.2023.01.139.

Article  PubMed  Google Scholar 

Candiani M, Vercellini P, Ferrero-Caroggio C, Fedele F, Salvatore S, Fedele L. Conservative treatment of Herlyn-Werner-Wunderlich syndrome: analysis and long-term follow-up of 51 cases. Eur J Obstet Gynecol Reprod Biol. 2022;275:84–90. https://doi.org/10.1016/j.ejogrb.2022.06.013.

Article  CAS  PubMed  Google Scholar 

Tanase Y, Yoshida H, Naka T, Kitamura S, Natsume T, Kobayashi Kato M, et al. Clear cell carcinoma of the cervix with OHVIRA syndrome: a rare case report. World J Oncol. 2021;12(1):34–8. https://doi.org/10.14740/wjon1362.

Article  PubMed  PubMed Central  Google Scholar 

Oka E, Chiyoda T, Iwata T, Yamagami W, Aoki D. Uterine cervical cancer associated with obstructed hemivagina and ipsilateral renal agenesis (OHVIRA) syndrome: a case report and review of the literature. Gynecol Oncol Rep. 2020;34:100645. https://doi.org/10.1016/j.gore.2020.100645.

Article  PubMed  PubMed Central  Google Scholar 

Giannini A, Massimello F, Caretto M, Cosimi G, Mannella P, Luisi S, et al. Factors in malignant transformation of ovarian endometriosis: a narrative review. Gynecol Endocrinol. 2024;40(1):2409911. https://doi.org/10.1080/09513590.2024.2409911.

Article  PubMed  Google Scholar 

Peiretti M, Zakashansky K, Melis GB, Mais V. Unusual case of adenocarcinoma arising in endometriosis mimicking colorectal cancer in a young woman with a Müllerian anomaly. Fertil Steril. 2008;90(1):199. https://doi.org/10.1016/j.fertnstert.2007.06.054. .e13-5.

Article  Google Scholar 

Pfeifer SM, Attaran M, Goldstein J, Lindheim SR, Petrozza JC, Rackow BW, et al. ASRM müllerian anomalies classification 2021. Fertil Steril. 2021;116(5):1238–52. https://doi.org/10.1016/j.fertnstert.2021.09.025.

Article  PubMed  Google Scholar 

Fedele L, Motta F, Frontino G, Restelli E, Bianchi S. Double uterus with obstructed hemivagina and ipsilateral renal agenesis: pelvic anatomic variants in 87 cases. Hum Reprod. 2013;28(6):1580–3. https://doi.org/10.1093/humrep/det081.

Article  CAS  PubMed  Google Scholar 

Moon LM, Anderson Z, Cisneros-Camacho AL, Dietrich JE. Presentation and management of uterine didelphys with unilateral cervicovaginal agenesis/dysgenesis (CVAD): a multicenter case series. J Pediatr Adolesc Gynecol. 2024;37(1):72–7. https://doi.org/10.1016/j.jpag.2023.08.001.

Article  PubMed  Google Scholar 

Troiano RN, McCarthy SM. Mullerian duct anomalies: imaging and clinical issues. Radiology. 2004;233(1):19–34. https://doi.org/10.1148/radiol.2331020777.

Article  PubMed  Google Scholar 

Brown MA, Mattrey RF, Stamato S, Sirlin CB. Mri of the female pelvis using vaginal gel. AJR Am J Roentgenol. 2005;185(5):1221–7. https://doi.org/10.2214/ajr.04.1660.

Article  PubMed  Google Scholar 

Papaioannou G, Koussidis G, Michala L. Magnetic resonance imaging visualization of a vaginal septum. Fertil Steril. 2011;96(5):1193–4. https://doi.org/10.1016/j.fertnstert.2011.08.042.

Article  PubMed  Google Scholar 

Centers for Disease Control. ICD-10-CM. https://icd10cmtool.cdc.gov/?fy=FY2025. Accessed 19 August 2025.

Moon LM, Farnell C. Intra-operative use of fluoroscopy for guidance during surgical resection of obstructive vaginal septum with microperforation: a case report. J Pediatr Adolesc Gynecol. 2023;36(2):222. https://doi.org/10.1016/j.jpag.2023.01.259.

Article  Google Scholar 

U.S Department of Labor. Table of RVU and Conversion Factor Values by Service Code https://www.dol.gov/agencies/owcp/regs/feeschedule/fee/CPTHCPCSADAOWCPCodes2024. Accessed 25 July 2025.

Yousef Y, Lee A, Ayele F, Poenaru D. Delayed access to care and unmet burden of pediatric surgical disease in resource-constrained African countries. J Pediatr Surg. 2019;54(4):845–53. https://doi.org/10.1016/j.jpedsurg.2018.06.018.

Article  PubMed  Google Scholar 

Arnold TC, Freeman CW, Litt B, Stein JM. Low-field MRI: clinical promise and challenges. J Magn Reson Imaging. 2023;57(1):25–44. https://doi.org/10.1002/jmri.28408.

Article  PubMed  Google Scholar 

Stewart KA, Navarro SM, Kambala S, Tan G, Poondla R, Lederman S, et al. Trends in ultrasound use in low and middle income countries: a systematic review. Int J MCH AIDS. 2020;9(1):103–20. https://doi.org/10.21106/ijma.294.

Article  PubMed  PubMed Central  Google Scholar 

Criniti A, Lin PC. Applications of intraoperative ultrasound in gynecological surgery. Curr Opin Obstet Gynecol. 2005;17(4):339. https://doi.org/10.1097/01.gco.0000175349.10684.e8.

Article  PubMed  Google Scholar 

Araujo Júnior E, Caldas JVJ, Sun SY, Castro PT, Passos JP, Werner H. Placenta accreta spectrum-first trimester, 2D and 3D ultrasound, and magnetic resonance imaging findings. J Clin Ultrasound. 2024;52(3):321–30. https://doi.org/10.1002/jcu.23627.

Article  PubMed  Google Scholar 

Nassar M, Abdallah W, Atallah D. Intraoperative ultrasound in the management of placenta accreta spectrum: waste of time or valuable step. J Ultrasound Med. 2023;42(4):931–3. https://doi.org/10.1002/jum.16090.

Article  PubMed  Google Scholar 

Toscano M, Szlachetka K, Whaley N, Thornburg LL. Evaluating sensitivity and specificity of handheld point-of-care ultrasound testing for gynecologic pathology: a pilot study for use in low resource settings. BMC Med Imaging. 2020;20(1):121. https://doi.org/10.1186/s12880-020-00518-8.

Article  PubMed  PubMed Central  Google Scholar 

Kim S, Fischetti C, Guy M, Hsu E, Fox J, Young SD. Artificial intelligence (AI) applications for point of care ultrasound (POCUS) in low-resource settings: a scoping review. Diagnostics. 2024. https://doi.org/10.3390/diagnostics14151669.

Article  PubMed