Presentation
Female with known left renal agenesis, presenting with menstrual cramps and lower abdominal discomfort.
Patient Data
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Uterus didelphys noted, with duplication of the cervix and a vagina separated by a vertical septum. The left hemivagina is obstructed resulting in hematocolpos. You can also see a Gardner cyst on the right, on T2 axial images.
Case Discussion
Herlyn-Werner-Wunderlich syndrome is a rare syndrome caused by a disturbance in the fusion of the Mullerian ducts characterized by uterus didelphys, unilateral obstructed hemivagina (hematocolpos) and ipsilateral renal anomalies. The syndrome is also known as OHVIRA syndrome (obstructed hemivagina and ipsilateral renal anomaly). The patients are usually diagnosed after the menarche, when they present with lower abdominal pain and occasionally a palpable mass in the pelvis.
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