Herlyn-Werner Wunderlich Syndrome: A Case Series And Review Of The Literature
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This case series reports four Herlyn-Werner Wunderlich syndrome patients, a urogenital malformation presenting with pelvic pain and dysmenorrhea after menarche, and reviews its diagnosis and management.
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Abstract
HerlynWerner Wunderlich syndrome is a complex malformation involving the female urogenital system. It comprises of uterus didelphys, obstructed hemivagina and ipsilateral renal agenesis, thought to occur secondary to mesonephric duct induced mullerian anomalies. It classically presents in adolescent girls , soon after menarche. They present with recurrent and progressively worsening pelvic pain and primary dysmenorrhoea. A high index of suspicion is important for an early and accurate diagnosis. Magnetic resonance imaging plays an important role in establishing the diagnosis . Prompt treatment relieves acute symptoms and prevents complications of chronic cryptomenorrhoea, like endometriosis .We report four cases of Herlyn Werner Wunderlich Syndrome, who presented with varying clinical manifestations.
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