Vaginoscopic resection of hemivagina, in a 20‐year‐old virgin female with prior misdiagnosis of OHVIRA syndrome as a bicornuate uterus: A case report

Key Clinical Message OHVIRA syndrome can be misdiagnosed due to its rarity, resulting in the need for more invasive interventions than vaginoscopy. Also, delayed diagnosis of OHVIRA syndrome can affect patient's quality of life by leading to chronic gynecological diseases such as endometriosis...

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Main Authors: Ameneh Haghgoo, Ali Faegh, Saeed Nasiri, Farnaz Akhbari
Format: Article
Language:English
Published: Wiley 2024-03-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.8661
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author Ameneh Haghgoo
Ali Faegh
Saeed Nasiri
Farnaz Akhbari
author_facet Ameneh Haghgoo
Ali Faegh
Saeed Nasiri
Farnaz Akhbari
author_sort Ameneh Haghgoo
collection DOAJ
description Key Clinical Message OHVIRA syndrome can be misdiagnosed due to its rarity, resulting in the need for more invasive interventions than vaginoscopy. Also, delayed diagnosis of OHVIRA syndrome can affect patient's quality of life by leading to chronic gynecological diseases such as endometriosis and pelvic inflammatory disease. Abstract Obstructive hemivagina and ipsilateral renal agenesis (OHVIRA) syndrome is one of the infrequent congenital Mullerian duct anomalies characterized by obstructed hemivagina and ipsilateral renal agenesis. This study presents a 20‐year‐old virgin female who was diagnosed with OHVIRA syndrome and treated by vaginoscopy using the hymen preservation technique. Also, she was misdiagnosed with non‐communicating rudimentary uterine horn 4 years ago. Late or misdiagnosis of OHVIRA syndrome can affect fertility and pregnancy outcomes. Therefore, early diagnosis and management are crucial. OHVIRA syndrome's misdiagnosis is possible with other Mullerian duct anomalies, such as a rudimentary uterine horn. Also, patients with misdiagnosis undergo unnecessary interventions.
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spelling doaj.art-2a030b44d1fb463ba6957aba609706582024-03-26T12:36:43ZengWileyClinical Case Reports2050-09042024-03-01123n/an/a10.1002/ccr3.8661Vaginoscopic resection of hemivagina, in a 20‐year‐old virgin female with prior misdiagnosis of OHVIRA syndrome as a bicornuate uterus: A case reportAmeneh Haghgoo0Ali Faegh1Saeed Nasiri2Farnaz Akhbari3School of Medicine Iran University of Medical Sciences Tehran IranSchool of Medicine Alborz University of Medical Sciences Karaj IranDepartment of Radiology Imam‐Hossein Medical and Educational Center, Shahid Beheshti University of Medical Sciences Tehran IranDepartment of Reproductive Biomedicine Research Royan Institute Tehran IranKey Clinical Message OHVIRA syndrome can be misdiagnosed due to its rarity, resulting in the need for more invasive interventions than vaginoscopy. Also, delayed diagnosis of OHVIRA syndrome can affect patient's quality of life by leading to chronic gynecological diseases such as endometriosis and pelvic inflammatory disease. Abstract Obstructive hemivagina and ipsilateral renal agenesis (OHVIRA) syndrome is one of the infrequent congenital Mullerian duct anomalies characterized by obstructed hemivagina and ipsilateral renal agenesis. This study presents a 20‐year‐old virgin female who was diagnosed with OHVIRA syndrome and treated by vaginoscopy using the hymen preservation technique. Also, she was misdiagnosed with non‐communicating rudimentary uterine horn 4 years ago. Late or misdiagnosis of OHVIRA syndrome can affect fertility and pregnancy outcomes. Therefore, early diagnosis and management are crucial. OHVIRA syndrome's misdiagnosis is possible with other Mullerian duct anomalies, such as a rudimentary uterine horn. Also, patients with misdiagnosis undergo unnecessary interventions.https://doi.org/10.1002/ccr3.8661bicornuate uterusHerlyn–Werner–Wunderlich syndromehymen preservationOHVIRA syndromevaginoscopy
spellingShingle Ameneh Haghgoo
Ali Faegh
Saeed Nasiri
Farnaz Akhbari
Vaginoscopic resection of hemivagina, in a 20‐year‐old virgin female with prior misdiagnosis of OHVIRA syndrome as a bicornuate uterus: A case report
Clinical Case Reports
bicornuate uterus
Herlyn–Werner–Wunderlich syndrome
hymen preservation
OHVIRA syndrome
vaginoscopy
title Vaginoscopic resection of hemivagina, in a 20‐year‐old virgin female with prior misdiagnosis of OHVIRA syndrome as a bicornuate uterus: A case report
title_full Vaginoscopic resection of hemivagina, in a 20‐year‐old virgin female with prior misdiagnosis of OHVIRA syndrome as a bicornuate uterus: A case report
title_fullStr Vaginoscopic resection of hemivagina, in a 20‐year‐old virgin female with prior misdiagnosis of OHVIRA syndrome as a bicornuate uterus: A case report
title_full_unstemmed Vaginoscopic resection of hemivagina, in a 20‐year‐old virgin female with prior misdiagnosis of OHVIRA syndrome as a bicornuate uterus: A case report
title_short Vaginoscopic resection of hemivagina, in a 20‐year‐old virgin female with prior misdiagnosis of OHVIRA syndrome as a bicornuate uterus: A case report
title_sort vaginoscopic resection of hemivagina in a 20 year old virgin female with prior misdiagnosis of ohvira syndrome as a bicornuate uterus a case report
topic bicornuate uterus
Herlyn–Werner–Wunderlich syndrome
hymen preservation
OHVIRA syndrome
vaginoscopy
url https://doi.org/10.1002/ccr3.8661
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