Herlyn–Werner–Wunderlich Syndrome (HWWS) is a rare congenital Mullerian duct anomaly, characterized by the presence of an obstructed hemivagina with uterus didelphys and an ipsilateral renal anomaly (OHVIRA). Ovarian serous adenocarcinoma is a type of epithelial ovarian cancer and accounts for about 90% of all ovarian cancers. The incidence of Müllerian duct anomalies associated with ovarian cancer is unknown. Due to its rarity of these conditions, diagnosis and management are challenging. In this paper, we present a case of a 53-year-old, nulligravid woman who presented with an acute abdomen. A transrectal and transabdominal sonography showed an ovarian mass with malignant features. Immediate surgical intervention was performed, and removal of the ovarian mass was done. Intraoperatively, findings of obstructed hemivagina, uterine didelphys, and the absence of one kidney were noted, suggestive of HWWS. Biopsy of the mass revealed borderline serous cystadenocarcinoma of the right ovary.

Human ; Ovarian Neoplasms

Objective. This study aimed to compare the completeness and ease of use of narrative reports (NR) submitted by residents compared to electronic synoptic reports (SR) by gynecologic oncology fellows for patients who underwent ovarian, fallopian, and peritoneal cancer surgery. Methods. We conducted a cross-sectional study in the Department of Obstetrics-Gynecology of the Philippine General Hospital from August to November 2019. We assessed the NRs and electronic SRs for completeness of data using quality indicators. Results. The average percentage of completeness of quality indicators is 77.1% (35.7/65). Eight indicators were absent in all NRs. Reporting of residual lesions was low (29.1%). The mean time to accomplish SRs (10.4 minutes) was significantly shorter than the mean time to accomplish NRs (21.9 minutes) (p value = 0.0001). SRs were assessed to be superior to NRs in several areas of surgery for quality, completeness and timeliness. Conclusion. This study showed that the NRs should be improved and periodic audit must be done to maintain quality assurance. The use of SR appears to be favorable and superior in terms of time required to accomplish.
narration