Herlyn–Werner–Wunderlich syndrome
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Herlyn–Werner–Wunderlich syndrome, characterized by obstructed hemivagina and ipsilateral renal anomaly, presents with dysmenorrhea and pelvic mass post-menarche, managed surgically to prevent infertility.
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Abstract
Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA), also known as Herlyn–Werner–Wunderlich syndrome, is a rare syndrome constituting 0.16–3% of all the mullerian duct anomalies. Patients are symptomatic shortly after menarche when hematocolpos develop during menstruation, resulting in dysmenorrhea and a pelvic mass. Ultrasonography and magnetic resonance imaging (MRI) are the usual investigations for the diagnosis. Vaginoplasty with septum resection is the treatment of choice to prevent complications such as endometriosis or adhesions from chronic infections with subsequent infertility. Here, we present a case of 13-year-old girl with similar presentation during her second menses and who was symptomatically relieved by vaginal septostomy with marsupialisation.
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References (8)
- Herlyn-Werner-Wunderlich syndrome: a rare presentation with pyocolpos via openalex
- Herlyn-Werner-Wunderlich syndrome presenting with infertility: Role of MRI in diagnosis via openalex
- W2135018125 via openalex
- W2137814282 via openalex
- W2153704448 via openalex
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- W2186144715 via openalex
- W2034652946 via openalex
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- last seen: 2026-06-04T00:00:01.174412+00:00
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