• Clinical imaging · May 2014

    Review Case Reports

    OHVIRA syndrome presenting with acute abdomen: a case report and review of the literature.

    • Funda Gungor Ugurlucan, Ercan Bastu, Gokce Gulsen, Meryem Kurek Eken, and Suleyman Engin Akhan.
    • Istanbul University School of Medicine, Department of Obstetrics and Gynecology, Istanbul, Turkey.
    • Clin Imaging. 2014 May 1;38(3):357-9.

    AbstractUterus didelphys with obstructed hemivagina and ipsilateral renal agenesis (OHVIRA) or Herlyn-Werner-Wunderlich (HWW) syndrome is a rare congenital urogenital anomaly. A 13-year-old female presented with acute abdominal pain and dysmenorrhea. Ultrasonography and magnetic resonance imaging showed uterus didelphys, hematometrocolpos, obstructed hemivagina, and right renal agenesis. Hemivaginal septal resection and anastomosis between the obstructed hemivagina and the normal vagina was tried, but it was not possible. Unilateral hysterectomy was performed. HWW syndrome may present with acute abdomen and is usually treated with vaginal septum resection and drainage of the hematometrocolpos.Copyright © 2014 Elsevier Inc. All rights reserved.

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