Abstract
A patient with a suspected müllerian anomaly was evaluated with an intravenous pyelogram (IVP), vaginoscopy, laparoscopy, cystoscopy, and vaginal exploration. The patient was noted to have a double urethra, double bladder, left renal agenesis, persistent hymen, double vagina, and uterus didelphys. She was managed conservatively with removal of the persistent hymen and vaginal septum. A review of similar anomalies is discussed and a plausible embryological explanation for this anomaly is offered.
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