Young or old, this condition may unfold: The use of ultrasound in the diagnosis of a wide spectrum of Herlyn Werner Wunderlich Syndrome, a case series
- Author:
Mari Stefanie S. Dimatatac
1
;
Marlyn T. Dee
1
Author Information
- Publication Type:Case Reports
- Keywords: Obstructed hemivagina; Renal agenesis; Uterine Didelphys; Herlyn-Werner-Wunderlich Syndrome; Mullerian duct anomaly; 2D Ultrasound; 3D Ultrasound
- MeSH: Mullerian aplasia; Mullerian Ducts; Urogenital Abnormalities
- From: Philippine Journal of Obstetrics and Gynecology 2019;43(3):31-39
- CountryPhilippines
- Language:English
- Abstract: Herlyn-Werner-Wunderlich syndrome, characterized by uterus didelphys with blind hemivagina and ipsilateral renal agenesis, is a rare Mullerian duct anomaly. This case series shows a wide spectrum of the condition, one presenting in an adolescent, managed conservatively and the other in the perimenopausal age group given a more definitive management. The first case is an 18-year- old nulligravid who manifested with progressive dysmenorrhea and foul smelling vaginal discharge a few years after menarche. She subsequently underwent vaginal septotomy followed by diagnostic hysteroscopy. On the other hand, the second case is a 46- year-old nulligravid whose chief complaint is a foul smelling vaginal discharge and consequently went through a total abdominal hysterectomy with salpingo-oophorectomy. To our knowledge, the second case is the only patient diagnosed in the perimenopausal stage and underwent a total hysterectomy. Ultrasound is the first-line imaging modality used in both cases and its merits are highlighted to prove its importance and diagnostic value in the workup of this condition.
- Full text:young-or-old-this-condition-may-unfold-the-use-of-ultrasound-in-the-diagnosis-of-a-wide-spectrum-of-herlyn-werner-wunderlich.pdf
