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Perioperative Evaluation in Herlyn-Werner-Wunderlich Syndrome
- Source :
- Obstetrics & Gynecology. 120:948-951
- Publication Year :
- 2012
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2012.
-
Abstract
- BACKGROUND: Herlyn-Werner-Wunderlich syndrome is defined by uterine didelphys, obstructed hemivagina, and ipsilateral renal agenesis. We report the presentation, radiographic findings, and outcomes of three patients with Herlyn-Werner-Wunderlich syndrome who underwent surgical management at a tertiary care academic medical center. CASES: Two patients were diagnosed by magnetic resonance imaging and one by ultrasonography. All three underwent successful transvaginal septoplasty and drainage of the hematocolpos and hematometra. One required septoplasty revision with temporary vaginal stent placement. CONCLUSION: Herlyn-Werner-Wunderlich syndrome is a rare condition. The most urgent concern is the obstruction of menstrual effluent. Unlike an isolated transverse vaginal septum, the vaginal septum with Herlyn-Werner-Wunderlich syndrome is parallel to the patent vaginal canal, less pliable, and closer to the cervix. These anatomical differences result in pronounced distortion with significant diagnostic and surgical challenges.
- Subjects :
- medicine.medical_specialty
Adolescent
medicine.medical_treatment
Kidney
Perioperative Care
Congenital Abnormalities
medicine
Hematocolpos
Humans
Vaginal septum
Abnormalities, Multiple
Kidney surgery
Child
Cervix
Hematometra
business.industry
Uterus
Obstetrics and Gynecology
Syndrome
Perioperative
medicine.disease
Surgery
Septoplasty
medicine.anatomical_structure
Vagina
Female
Kidney Diseases
business
Subjects
Details
- ISSN :
- 00297844
- Volume :
- 120
- Database :
- OpenAIRE
- Journal :
- Obstetrics & Gynecology
- Accession number :
- edsair.doi.dedup.....80679bd1f720439fecdf4df9d1981414