Dysmenorrhea due to undiagnosed obstructed hemi-vagina and ipsilateral renal anomaly syndrome can become a cause of suicide.

"Declarations Ethics approval and consent to participateThis study was approved by Shiga University of Medical Science Research Ethics Committee (R2014-010). Written informed consent to publish was obtained from parents. Consent for publicationWritten informed consent to publish was obtained from parents. Availability of data and materialThe datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request. Competing interestsThe authors declare that they have no competing interests. FundingThis research was not financially supported by any organization. Authors’ contributionsATU and MH performed the autopsies and drafted the manuscript; ATU performed the pathological examination; KM performed histological analysis and reviewed the work critically for important intellectual content; All authors acquired and analyzed the data. All authors read and approved the final manuscript. AcknowledgementsWe gratefully acknowledge Professor Nobuyuki Kita, a gynecologist in Shiga University of Medical Science, for his suggestions regarding OHVIRA syndrome. Competing interests The authors declare that they have no competing interests."

"Funding This research was not financially supported by any organization."