Obstructed hemivagina and ipsilateral renal agenesis (OHVIRA) syndrome

Ryosuke Arakaki; Kanako Yoshida; Junki Imaizumi; Takashi Kaji; Takeshi Kato; Takeshi Iwasa

doi:10.1016/j.ijscr.2023.108368

Obstructed hemivagina and ipsilateral renal agenesis (OHVIRA) syndrome

Ryosuke Arakaki, Kanako Yoshida, Junki Imaizumi, Takashi Kaji, Takeshi Kato, Takeshi Iwasa

International journal of surgery case reports · 2023 · vol. 107(C) , pp. 108368 · doi:10.1016/j.ijscr.2023.108368 · PMID:37295244 · PMC10310910 · W4380142873

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⚙ AI-generated summary by claude@2026-06, 2026-06-10 ⓘ

This case report describes a 12-year-old girl with OHVIRA syndrome who was successfully treated with combined transvaginal and laparoscopic surgery for hematocolpos and pelvic adhesions.

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Abstract

INTRODUCTION: Obstructed hemivagina and ipsilateral renal agenesis (OHVIRA) is a rare urogenital malformation. The clinical symptoms of OHVIRA include uterine morphology abnormality, persistent vaginal discharge, and renal anomaly or agenesis. Delayed diagnosis can lead to complications, such as pelvic inflammatory disease, adhesion to the oviduct, and endometriosis. PRESENTATION OF CASE: We report the case of a 12-year-old girl who presented with severe dysmenorrhea and abnormal vaginal discharge. The patient was diagnosed with OHVIRA based on magnetic resonance imaging findings. The patient underwent combined transvaginal and laparoscopic surgery for drainage of hematocolpos and adhesiolysis of the pelvic cavity. The patient had an uncomplicated recovery and normal menstrual cycle after surgery. DISCUSSION: OHVIRA is a rare syndrome, of which delayed diagnosis may result in the development of endometriosis. CONCLUSION: We report that a combined laparoscopic and transvaginal approach was useful for treating OHVIRA with oviductal hematoma.

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Condition tags

endometriosisdysmenorrhea

Citation neighborhood (sparse)

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Cites (1)

Herlyn-Werner-Wunderlich Syndrome—Timely Diagnosis is Important to Preserve Fertility 2012

References (9)

Herlyn-Werner-Wunderlich Syndrome—Timely Diagnosis is Important to Preserve Fertility via openalex
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openalex: last seen: 2026-06-04T00:00:01.174412+00:00
pubmed: last seen: 2026-05-29T00:33:36.739615+00:00

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[1] Herlyn-Werner-Wunderlich Syndrome—Timely Diagnosis is Important to Preserve Fertility 2012