3.8 Article

Herlyn-Werner-Wünderlich syndrome: A case series

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ELSEVIER ESPANA
DOI: 10.1016/j.gine.2023.100912

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Herlyn-Werner-Wunderlich syndrome; Mullerian anomaly; Obstructed vagina; OHVIRA syndrome; Renal agenesis; Uterine malformation; Uterus didelphys

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Herlyn-Werner-Wunderlich syndrome is a rare uterine malformation that often causes dysmenorrhea, abnormal uterine bleeding, and infertility. This article reports the diagnosis and treatment results of four patients. Hysteroscopy resection of the longitudinal vaginal septum is an effective treatment option for symptomatic patients.
Introduction: Herlyn-Werner-Wunderlich syndrome is a uterine malformation characterized by uterus didelphys, obstructed hemivagina and ipsilateral renal agenesis. Clinical findings: The manifestation of the disease is widely diverse; it is usually diagnosed after menarche, with dysmenorrhea and abnormal uterine bleeding; it is also associated with infertility. Main diagnosis: Four clinical cases, their diagnosis are reported here. Therapeutic interventions and results: The treatment and results of these four patients are described here. Conclusion: When studying uterine malformation it is important to consider this rare disease to avoid possible complications and giving the patient a correct diagnose and treatment. The hysteroscopy resection of the longitudinal vaginal septum in those symptomatic patients with hematocolpos should be considered as a good option for treatment. (c) 2023 Elsevier Espan similar to a, S.L.U. All rights reserved.

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