Herlyn-Werner-Wunderlich syndrome (HWWS), defined by the triad of uterus didelphys, obstructed hemivagina and ipsilateral renal agenesis, is a rare Mullerian duct malformation, usually diagnosed after menarche, when symptoms related to haematocolpos arise. We report a case of a 14-year-old patient who presented to the emergency department complaining of proctalgia and pelvic pain treated in our medical centre. Ultrasound and abdomino-pelvic MRI imaging studies confirmed the diagnosis. Treatment was surgical incision of the vaginal septum. At the follow-up visit, after the initial procedure, excess vaginal tissue was excised using a hysteroscopic approach during diagnostic vaginoscopy. Vaginoscopy-assisted treatment of the patient proved to be a safe and effective minimally invasive treatment modality that resulted in symptomatic relief and fertility preservation. In conclusion, although premenarche is asymptomatic in the vast majority of cases, HWWS would be optimally diagnosed in childhood to avoid acute late complications, although it is usually first diagnosed after menarche as a result of haematocolpos. Gynaecologists should consider the syndrome in the presence of pelvic mass, renal agenesis, menstrual changes and cyclic pelvic pain.
As Doenças Crônicas Não Transmissíveis configuram como importante problema de saúde pública no Brasil e no mundo. Objetivo: Avaliar as alterações dos fatores de risco e proteção para doenças crônicas durante o isolamento social determinado pela pandemia do COVID-19. Métodos: População universitária avaliada por meio de um questionário online validado. Resultados: Nos acadêmicos (n=46) encontrou-se predominância do sexo feminino (76%), estado nutricional eutrofia antes e depois, respectivamente (46% e 56%), diminuição da atividade física (46%, 24%), aumento em assistir TV (9%, 13%) e uso de eletrônicos por mais de 3h (65%, 96%) e estado de saúde atual regular (52%). Nos docentes (n=11) predominou o sexo feminino (64%), estado nutricional eutrofia antes e depois, respectivamente (73% e 64%), diminuição no consumo de hortaliças (64%, 36%), aumento em assistir TV (18%, 36%) e uso de eletrônicos por mais de 3h (90%, 100%) e estado de saúde atual como bom (64%). Conclusão: Necessidade de ações institucionais que contribuam para a redução dos fatores de riscos e privilegiem os de proteção para este grupo de doenças.
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