Abstract
Two cases of unilateral hematometracoipos in a duplicated genital tract associated with ipsilateral renal agenesis are presented to demonstrate the role of ultrasonography in the diagnosis and management of both the renal and genital abnormalities. It is suggested that laparotomy and other invasive diagnostic studies are unnecessary in the initial management of these patients. Ultrasonography is the optimal non-invasive investigation to define the anatomy of malformations of the genital tract and detect any associated ipsilateral renal agenesis. Whenever a genital tract duplication is diagnosed in a female an ultrasound examination of the renal tract should be performed, and vice-versa, because of the high association of concomitant anomalies in the two systems.
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