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作 者:Abiola Omobonike Adekoya Adeniyi Kazeem Akiseku Ayodeji Anike Olatunji Mojisola Adejoke Olusola-Bello
机构地区:[1]Department of Radiology,Olabisi Onabanjo University Teaching Hospital,Sagamu,Nigeria [2]Department of Obstetrics and Gynecology,Olabisi Onabanjo University Teaching Hospital,Sagamu,Nigeria
出 处:《Asian pacific Journal of Reproduction》2022年第5期243-246,共4页亚太生殖杂志(英文版)
摘 要:Rationale:Herlyn-Werner-Wunderlich syndrome,also known as obstructed hemi-vagina with ipsilateral renal agenesis(OHVIRA)syndrome,is a rare congenital anomaly of the Müllerian and Wolffian ducts.It is often asymptomatic until puberty and is usually misdiagnosed as infertility.Patient concerns:A 39-year-old woman desirous of pregnancy was referred to our radiodiagnosis unit for imaging evaluation on account of secondary infertility.Diagnosis:Incidental discovery of uterine bicornis bicollis and blind-ending hemivagina was noted at hysterosalpingography.Interventions:This necessitated the search for other genitourinary tract anomalies,and ipsilateral renal agenesis was also discovered.Outcomes:A diagnosis of Herlyn-Werner-Wunderlich syndrome was made.Lessons:Magnetic resonance imaging(MRI)is considered the gold standard imaging modality for the assessment of uterine malformations.However,in resource-poor centers where MRI is unavailable,a heightened clinical suspicion with the combination of available imaging modalities is important and reliable in making an accurate diagnosis,hence,successful management.
关 键 词:INFERTILITY Obstructed hemivagina Renal agenesis Uterus didelphys Herlyn-Werner-Wunderlich syndrome
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