Incidental diagnosis of Herlyn-Werner-Wunderlich Syndrome in a nulliparous woman: a case report in Bhutan

Dhrupthob Sonam, Geeta Pradhan, Ugyen Tshomo
In: Bhutan Health Journal · 2021 · vol. 7(2) , pp. 24–27 · doi:10.47811/bhj.126 · W3216206449
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This case report describes the incidental diagnosis of Herlyn-Werner-Wunderlich syndrome in a 42-year-old nulliparous woman presenting with abdominal pain, which was confirmed by imaging and treated for associated endometriosis.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-12 · read from full text ⓘ

This case report describes the incidental diagnosis of Herlyn-Werner-Wunderlich syndrome, a rare congenital condition characterized by uterus didelphys, an ipsilateral absent kidney, and an obstructed hemivagina, in a 42-year-old nulliparous woman presenting with right-sided abdominal pain in Bhutan. The authors used ultrasound, CT, and MRI to support the diagnosis. The report states that the patient was treated for endometriosis and had symptomatic improvement, while noting that delayed or challenging diagnosis can lead to complications such as endometriosis, infertility, and pelvic inflammation. Relevance to endometriosis: the paper explicitly links late diagnosis of Herlyn-Werner-Wunderlich syndrome to endometriosis and reports that the patient received endometriosis treatment with symptom improvement, though the paper is primarily a HWWS case report.

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Abstract

Herlyn-Werner-Wunderlich syndrome (HWWS) is a rare congenital syndrome with features of uterus didelphys, ipsilateral absent kidney and obstructed hemivagina. Ultrasound findings of absent kidney or abnormalities in the kidney should alert the clinicians about the syndrome. Complications like endometriosis, infertility and pelvic inflammation occurs with late diagnosis.A 42-yearold nulliparious married woman who presented with right sided abdominal pain to the National Referral Hospital was diagnosed to have HWWS. The diagnosis was supported by ultrasound, CT and MRI findings. Patient was treated for endometriosis and had symptomatic improvement. The diagnosis of the syndrome is challenging as it is rare but clinicians should suspect the syndrome in women who present with infertility. Ultrasound scan is the basic investigation to screen the syndrome which is available in most hospitals.
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Incidental diagnosis of Herlyn-Werner-Wunderlich Syndrome in a nulliparous woman: a case report in Bhutan DOI: https://doi.org/10.47811/bhj.126Keywords: Bhutan; case report;Herlyn-Werner-Wunderlich.Abstract Herlyn-Werner-Wunderlich syndrome (HWWS) is a rare congenital syndrome with features of uterus didelphys, ipsilateral absent kidney and obstructed hemivagina. Ultrasound findings of absent kidney or abnormalities in the kidney should alert the clinicians about the syndrome. Complications like endometriosis, infertility and pelvic inflammation occurs with late diagnosis.A 42-yearold nulliparious married woman who presented with right sided abdominal pain to the National Referral Hospital was diagnosed to have HWWS. The diagnosis was supported by ultrasound, CT and MRI findings. Patient was treated for endometriosis and had symptomatic improvement. The diagnosis of the syndrome is challenging as it is rare but clinicians should suspect the syndrome in women who present with infertility. Ultrasound scan is the basic investigation to screen the syndrome which is available in most hospitals. Downloads Published Issue Section License Copyright (c) 2021 Dhrupthob Sonam, Geeta Pradhan, Ugyen Tshomo This work is licensed under a Creative Commons Attribution 4.0 International License. BHJ allow to read, download, copy, distribute, print, search, or link to the full texts of its articles and allow readers to use them for any other lawful purpose. The author(s) are allowed to retain publishing rights without restrictions.

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Condition tags

endometriosisinfertility

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