scholarly journals Uterus didelphys with obstructed hemivagina with chronic presentation: a case report

2017 ◽  
Vol 5 (6) ◽  
pp. 2809
Author(s):  
Monika Anant ◽  
Bibekanand Das ◽  
Avishek Bhadra ◽  
Joydev Mukherji
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Clinical Examination ◽  
Clinical Manifestations ◽  
Uterus Didelphys ◽  
Rare Anomaly ◽  
Obstructed Hemivagina

This is a case report of a 24-year patient who had uterus didelphys with obstructed hemivagina. Clinical manifestations of this case were of progressive dysmenorrhea, abdominal pain after menarche, cyclic difficulty in urination and constipation, with the existing paravaginal tumor indicated this rare anomaly. The diagnosis was by clinical examination and ultrasonography.  The patient underwent successful transvaginal septoplasty and drainage of the hematocolpos and hematometra, which is the appropriate mode of treatment in such cases.  

scholarly journals Uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis

2007 ◽  
Vol 54 (3) ◽  
pp. 137-139 ◽  
Author(s):  
Lj. Mirkovic ◽  
D. Mirkovic ◽  
V. Boskovic ◽  
Z. Markovic
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Magnetic Resonance ◽  
Mr Imaging ◽  
Clinical Examination ◽  
Renal Agenesis ◽  
Clinical Manifestations ◽  
Uterus Didelphys ◽  
Rare Anomaly ◽  
Obstructed Hemivagina

This is a case report of two patients how have uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis with different clinical manifestations. Progressive abdominal pain after menarche, anuria or obstipation with the existing paravaginal tumor indicates this rare anomaly. Initially, the anomaly remains unrecognized, while patients most frequently referred to surgeons for assistance. The method of choice for diagnosis is clinical examination, ultrasonography and magnetic resonance (MR) imaging. Transvaginal excision of the septum is appropriate mode of treatment.

scholarly journals Hysteroscopic Resection of the Vaginal Septum in Uterus Didelphys with Obstructed Hemivagina: A Case Report

2007 ◽  
Vol 22 (4) ◽  
pp. 766 ◽  
Author(s):  
Tae Eun Kim ◽  
Gyoung Hoon Lee ◽  
Young Min Choi ◽  
Byung Chul Jee ◽  
Seung-Yup Ku ◽  
...  
Keyword(s):  
Case Report ◽  
Vaginal Septum ◽  
Uterus Didelphys ◽  
Obstructed Hemivagina ◽  
Hysteroscopic Resection

scholarly journals Heterotopic Pregnancy: A Clinical Case Report

1970 ◽  
Vol 39 (3) ◽  
Author(s):  
S Chowdhury ◽  
T Chowdhury
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Ectopic Pregnancy ◽  
Clinical Examination ◽  
Clinical Case ◽  
Lower Abdominal Pain ◽  
Tubal Pregnancy ◽  
Heterotopic Pregnancy ◽  
Intrauterine Pregnancy ◽  
Ectopic Pregnancies

Heterotopic pregnancy is coexistence of intrauterine and extrauterine pregnancies that is ectopic pregnancies. It is said to be rare. Here we report a case of 27 years old woman with heterotopic pregnancy. Patient had a typical presentation of severe lower abdominal pain following amenorrhoea for 2½ months. On clinical examination, there was suspicion of ectopic pregnancy but ultrasonography revealed early intrauterine pregnancy along with right tubal pregnancy with huge collection in abdomen . Immediate laparotomy was done and diagnosis was confirmed as a case of heterotopic pregnancy.DOI: http://dx.doi.org/10.3329/bmj.v39i3.9950 BMJ 2010; 39(3)

scholarly journals Hepatic fascioliasis: case report and review

1996 ◽  
Vol 38 (1) ◽  
pp. 69-73 ◽  
Author(s):  
Salha Abdul-Hadi ◽  
Rosa Contretas ◽  
Claudio Tombazzi ◽  
Marta Alvarez ◽  
Maribel Melendez
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Side Effects ◽  
Clinical Manifestations ◽  
Documented Case ◽  
Human Fascioliasis ◽  
Oral Doses

A well documented case of hepatic fascioliasis (HF), successfully treated with triclabendazole, is reported. Predominant clinical manifestations were fever, marked eosinophilia and abdominal pain. Triclabendazole was given as two single oral doses of 10 mg/kg each. Neither side effects nor clinical or parasitological relapses were seen after three months of follow up Based on this experience and few other similar reports in the literature, triclabendazole might be a valid therapeutical alternative in the treatment of human fascioliasis.

scholarly journals An unusual appearance of the post-pubertal Herlyn-Werner-Wunderlich syndrome with acute abdominal pain: A case report

2019 ◽  
Author(s):  
Marzieh Ghasemi ◽  
Arezoo Esmailzadeh
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Pelvic Mass ◽  
Mullerian Duct ◽  
Early Puberty ◽  
Vaginal Septum ◽  
Müllerian Duct ◽  
Uterus Didelphys ◽  
Obstructed Hemivagina ◽  
One Year

Background: Herlyn-Werner-Wunderlich (HWW) syndrome is a rare congenital urogenital defect. It is detected by unilateral low vaginal obstruction, uterus didelphys, and ipsilateral kidney agenesis. It usually becomes apparent with pain, dysmenorrhea, and presence of a vaginal or pelvic mass. Purulent vaginal discharge may also happen rarely because of infective complications of the obstructed hemivagina. In this report, we describe a post-pubertal case with acute abdominal pain. Case: The patient was a 13-yr-old girl who was referred to us with acute abdominal pain one year after the onset of her menarche. In the pelvic examination, we detected hematocolpos. Abdominopelvic-computed tomography scan confirmed the presence of mullerian duct anomalies with uterus didelphys. This case of HWW syndrome along with pyocolpus was managed by vaginal septum resection, drainage of pus, and salpingectomy. Conclusion: The symptoms of HWW syndrome should be monitored in early puberty to prevent more complications. Key words: Herlyn-Werner-Wunderlich syndrome, Uterus didelphys, Kidney agenesis, Mullerian duct anomaly.

scholarly journals Herlyn-Werner-Wunderlich Syndrome: Comparison of Two Cases

2020 ◽  
Vol 17 (19) ◽  
pp. 7173
Author(s):  
Mateusz Kozłowski ◽  
Katarzyna Nowak ◽  
Dominika Boboryko ◽  
Sebastian Kwiatkowski ◽  
Aneta Cymbaluk-Płoska
Keyword(s):  
Abdominal Pain ◽  
Clinical Symptoms ◽  
Transvaginal Ultrasound ◽  
Lower Abdominal Pain ◽  
Clinical Situation ◽  
Uterus Didelphys ◽  
History Of ◽  
Rare Malformation ◽  
Obstructed Hemivagina

Background: Herlyn-Werner-Wunderlich Syndrome is a rare malformation syndrome characterized by uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis. Symptoms appear most often after menarche and are secondary to hematocolpos. We compare clinical symptoms, diagnosis and treatment of two patients, a 13-year-old and a 17-year-old. Case report: Despite the non-uniform clinical symptoms, it should be noted that in both patients, the 13-year-old and the 17-year-old, hematocolpos, which was probably the cause of lower abdominal pain, was diagnosed with ultrasound. The diagnosis was complemented by laparoscopy, which determined the diagnosis of malformation of uterus didelphys with obstructed hemivagina. The patients had a history of kidney agenesis, which, after gynecological diagnosis, turned out to be ipsilateral. In the 13-year-old, agenesis was diagnosed by uroscintigraphy, while in the 17-year-old it was diagnosed by urography. Incision and drainage of the residual vagina was performed in the course of therapeutic management. In both cases, the clinical situation required a repeated widening of the orifice. Conclusions: Lower abdominal pain accompanying hematocolpos suggested Herlyn-Werner-Wunderlich Syndrome (HWWS) as the cause of symptoms. 3D transvaginal ultrasound enabled the determination of a congenital uterine defect with high probability, although inconclusive cases required confirmation by laparoscopy. Incision of the blocked vagina and drainage of hematocolpos were the key components of treatment. The treatment of HWWS is a multi-step process.

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