Excision of an Occult, Obstructed Hemivagina Under Laparoscopic Ultrasound Guidance in a Patient with Ohvira Syndrome

2021 ◽  
Vol 28 (11) ◽  
pp. S16-S17
Author(s):  
H. Wirth ◽  
M.G. Munro ◽  
C. Templeman
Author(s):  
Zahra Tavoli ◽  
Ali Montazeri

Introduction: Uterus didelphys with obstructed hemivagina associated with ipsilateral renal agenesis (OHVIRA syndrome) is a rare female urogenital malformation and delay in its diagnosis could lead to several complications. Case presentation: A 21-year-old virgin woman was admitted to the emergency department (ED) with severe abdominal pain, without fever and vaginal discharge. She reported a history of cyclic abdominopelvic pain and dysmenorrhea for 5 years. The primary diagnosis (OHVIRA syndrome) was made using ultrasonography, spiral computed tomography (CT) and magnetic resonance imaging (MRI). In addition, laparoscopy was performed to confirm diagnosis and drain hematosalpinx. Then, hysteroscopy was carried out for septum resection and catheter insertion. At one-month follow-up the ultrasonography showed normal left hemicavity of uterus associated with significant decrease in dysmenorrhea. Conclusion: Being aware of OHVIRA syndrome and clinical suspicion of this rare anomaly are essential for making a timely diagnosis, preventing complications, relieving symptoms, and preserving future fertility.


Author(s):  
Tushar Patil ◽  
Devarati Khurjekar ◽  
Vikash Ojha

AbstractObstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome is a rare complex Müllerian and Wolffian duct anomaly. It is also known as Herlyn–Werner–Wunderlich syndrome (HWWS). It includes unilateral renal anomalies and uterine didelphys. It generally occurs at puberty and exhibits non-specific and variable symptoms with acute or pelvic pain shortly following menarche, causing a delay in the diagnosis. We report here a 16-year-old female presenting with progressive cyclical pelvic pain, where magnetic resonance imaging (MRI) suggested the diagnosis of the OHVIRA syndrome. She was managed by surgical resection of the septum and draining of the obstructed vagina.


2018 ◽  
Vol 25 (7) ◽  
pp. S123
Author(s):  
R.B. Smith ◽  
K. Steck-Bayat ◽  
L. Stoycheff ◽  
J. Mourad

2018 ◽  
Vol 33 (1) ◽  
pp. 69-71 ◽  
Author(s):  
Aziza Al Ghafri ◽  
Alaeddin Fida ◽  
Abdulaziz Al-Gharras

2014 ◽  
Vol 290 (5) ◽  
pp. 855-858 ◽  
Author(s):  
Krešimir Živković ◽  
Matija Prka ◽  
Nikica Živković ◽  
Ana Bucko ◽  
Dubravko Habek

2018 ◽  
Vol 44 (7) ◽  
pp. 1326-1329 ◽  
Author(s):  
Masaki Kamio ◽  
Chikako Nagata ◽  
Hirotsugu Sameshima ◽  
Shinichi Togami ◽  
Hiroaki Kobayashi

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