Open AccessIncidental diagnosis of Herlyn-Werner-Wunderlich Syndrome in a nulliparous woman: a case report in Bhutan
Author(s) -
Dhrupthob Sonam,
Geeta Pradhan,
Ugyen Tshomo
Publication year - 2021
Publication title -
bhutan health journal
Language(s) - English
Resource type - Journals
eISSN - 2415-1114
pISSN - 2413-2993
DOI - 10.47811/bhj.126
Subject(s) - medicine , uterus didelphys , endometriosis , infertility , pelvic pain , referral , abdominal pain , gynecology , ultrasound , radiology , obstetrics , uterus , surgery , pregnancy , family medicine , biology , genetics
Herlyn-Werner-Wunderlich syndrome (HWWS) is a rare congenital syndrome with features of uterus didelphys, ipsilateral absent kidney and obstructed hemivagina. Ultrasound findings of absent kidney or abnormalities in the kidney should alert the clinicians about the syndrome. Complications like endometriosis, infertility and pelvic inflammation occurs with late diagnosis.A 42-yearold nulliparious married woman who presented with right sided abdominal pain to the National Referral Hospital was diagnosed to have HWWS. The diagnosis was supported by ultrasound, CT and MRI findings. Patient was treated for endometriosis and had symptomatic improvement. The diagnosis of the syndrome is challenging as it is rare but clinicians should suspect the syndrome in women who present with infertility. Ultrasound scan is the basic investigation to screen the syndrome which is available in most hospitals.