Herlyn-Werner-Wunderlich Syndrome: A Very Rare Urogenital Anomaly in a Teenage Girl
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This case report describes the presentation and management of a teenage girl diagnosed with Herlyn-Werner-Wunderlich syndrome, a rare urogenital anomaly characterized by didelphys uterus, obstructed hemivagina, and ipsilateral renal agenesis.
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Abstract
BackgroundHerlyn-Werner-Wunderlich (HWW) syndrome is an uncommon variant of Müllerian duct anomalies, consisting of uterine didelphys, obstructed hemivagina, and ipsilateral renal agenesis. It usually presents in a post-pubertal adolescent or adult woman in whom hematometrocolpos produces a pronounced mass effect and pain on the side of the obstructed hemivagina.Case reportWe report the case of a 13-year-old girl who presented to the emergency radiology department with sudden onset of severe pain at the right lower quadrant of the abdomen; imaging confirmed the diagnosis of HWW syndrome. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: When unilateral renal agenesis and uterus didelphys coexist, the first thing that the physician should remember is to confirm or refute the presence of a blind vagina for diagnosis of HWW syndrome.
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Cited by (4)
- MRI image features and differential diagnoses of Herlyn–Werner–Wunderlich syndrome 2019
- A rare case of pelvic pain caused by Herlyn-Werner-Wunderlich Syndrome in an adult 2018
- Chronic pelvic pain caused by Herlyn-Werner-Wunderlich Syndrome: Case report and discussion 2020
- Uterus didelphys associated with ovarian endometriosis in an infertile patient 2017
References (8)
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Cited by (4)
- Chronic pelvic pain caused by Herlyn-Werner-Wunderlich Syndrome: Case report and discussion 2020
- MRI image features and differential diagnoses of Herlyn–Werner–Wunderlich syndrome 2019
- A rare case of pelvic pain caused by Herlyn-Werner-Wunderlich Syndrome in an adult 2018
- Uterus didelphys associated with ovarian endometriosis in an infertile patient 2017
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