We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Ureteral Ectopia, Hydrocolpos, and Uterus Didelphys

Harold M. Constantian, MD
JAMA. 1966;197(1):54-57. doi:10.1001/jama.1966.03110010106033.
Text Size: A A A
Published online


THE INCIDENCE of some anomalies of the genitourinary tract is relatively rare. The coexistence of several in a 6-year-old child warrants this report.

Report of a Case  A 6-year-old white girl was admitted to the Worcester Hahnemann Hospital on March 5, 1962, with dribbling after voiding and a bulging membrane at the introitus.Three months prior to admission, a greenish, mucous vaginal discharge was found on the girl's clothing for one day. Following this, the child dribbled between voidings and her clothing was constantly damp. With coughing, the dribbling became worse. Although voiding at normal intervals, she had urgency and dysuria at times. Difficulty in initiating micturition was noted. Nocturia occurred accasionally.The history was noncontributory. Results of physical examination were normal except that a bluish-gray membrane, 2 cm in diameter, bulged from the vaginal orifice. With coughing, the membrane ballooned out and a trickle of clear fluid was seen.


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.