Herlyn-Werner-Wunderlich syndrome: 3D ultrasonographic diagnosis in premenarche

Vilhena, C.; Metello, José; Casal, Ester; Romão, Fátima

doi:10.1016/j.mefs.2013.12.003

Cited by 3 publications

(2 citation statements)

References 11 publications

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“…Three-dimensional ultrasound can help to arrive at a precise diagnosis because, sonography enables one to view the coronal plane, which, in turn, allows a precise evaluation of the relationship of the uterine fundus with the cavity. 13 However, MRI is superior to ultrasound because of MRI's better delineation of anatomical relationships, owing to MRI's multiplanar capabilities and tissue characterization, which are important for surgical planning. 12 Laparoscopy is now considered to be more popular for evaluation of female reproductive-tract anomalies; this technique can not only confirm the diagnosis with certainty but can also be helpful in fulguration of endometriosis lesions formed as a result of retrograde menstrual blood flow in obstructing MDAs.…”

Section: Discussionmentioning

confidence: 99%

Herlyn–Werner–Wunderlich Syndrome: Clinical Presentation and Outcome After Repeat Surgery

ShahPragnesh¹,

SindhuPreeti²,

ShahForam

et al. 2016

Journal of Gynecologic Surgery

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Background: Herlyn-Werner-Wunderlich syndrome (HWW syndrome), is a rare congenital anomaly consisting of the triad of uterus didelphys, obstructed hemivagina, and ipsilateral renal agenesis. The diagnosis of HWW syndrome is often delayed because of less understanding of Müllerian anomalies by practitioners. Case: A 13-year-old female presented with severe dysmenorrhea. A diagnosis of HWW syndrome was confirmed by magnetic resonance imaging. Drainage of her hematocolpos was performed by resection of the vaginal septum. Laparoscopic fulguration of endometriosis lesions was performed; the lesions had been formed as a result of retrograde menstrual blood flow. Results: The patient's postoperative period was uneventful, and she was relieved of dysmenorrhea completely. After 2 years, she developed dysmenorrhea again as a result of restenosis of the septum and development of hematocolpos. Her vaginal septum was excised with suturing of the edges, and she was advised to retain her vaginal stent for 1 month. During a follow-up visit, this patient did not complain of dysmenorrhea and reported that she was having regular, normal menstruation. Conclusions: In young females presenting with intractable dysmenorrhea, a thorough evaluation should be conducted to rule out Müllerian anomalies. When an obstructive vaginal septum is excised for drainage of menstrual blood, it often becomes stenosed again, which may require a repeat excision and vaginal stent placement, thus, postoperative counseling and follow-up is very important. ( J GYNECOL SURG 32:54)

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Section: Discussionmentioning

confidence: 99%

Herlyn–Werner–Wunderlich Syndrome: Clinical Presentation and Outcome After Repeat Surgery

ShahPragnesh¹,

SindhuPreeti²,

ShahForam

et al. 2016

Journal of Gynecologic Surgery

View full text Add to dashboard Cite

show abstract

“…These girls present with abdominal mass, urinary retention, or prenatal scan showing absence of one kidney. 6 The diagnosis is usually made with clinical examination and confirmed with imaging. The investigations that are useful are two-dimensional or three-dimensional USG, sonohysterography and hysterosalpingography.…”

Section: Jsafogmentioning

confidence: 99%