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1. Introduction The case explores the presentation of an adolescent female with imperforate hymen and her subsequent hymenectomy for treatment. This patient is a unique case in that postoperative pelvic ultrasound revealed a secondary congenital anomaly of a bicornuate uterus. Two uncommon anomalies occurring together create a unique case report and should raise suspicion for multiple Müllerian anomalies when one is identified. 2.
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