Incidental diagnosis of Herlyn-Werner-Wunderlich Syndrome in a nulliparous woman: a case report in Bhutan

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 endome...

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Main Authors: Dhrupthob Sonam, Geeta Pradhan, Ugyen Tshomo
Format: Article
Language:English
Published: Khesar Gyalpo University of Medical Sciences of Bh 2021-11-01
Series:Bhutan Health Journal
Subjects:
Online Access:https://bhj.com.bt/index.php/bhj/article/view/195
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author Dhrupthob Sonam
Geeta Pradhan
Ugyen Tshomo
author_facet Dhrupthob Sonam
Geeta Pradhan
Ugyen Tshomo
author_sort Dhrupthob Sonam
collection DOAJ
description 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.
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spelling doaj.art-2c0ea5b8993141fb9297f22c76adcd532023-10-25T09:27:37ZengKhesar Gyalpo University of Medical Sciences of BhBhutan Health Journal2413-29932415-11142021-11-0172242710.47811/bhj.126196Incidental diagnosis of Herlyn-Werner-Wunderlich Syndrome in a nulliparous woman: a case report in BhutanDhrupthob Sonam0Geeta Pradhan1Ugyen Tshomo2Department of General Practice, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, BhutanDepartment of Radio-diagnosis & Imaging, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, BhutanDepartment of Obstetrics & Gynecology, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, BhutanHerlyn-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.https://bhj.com.bt/index.php/bhj/article/view/195bhutan; case report;herlyn-werner-wunderlich.
spellingShingle Dhrupthob Sonam
Geeta Pradhan
Ugyen Tshomo
Incidental diagnosis of Herlyn-Werner-Wunderlich Syndrome in a nulliparous woman: a case report in Bhutan
Bhutan Health Journal
bhutan; case report;herlyn-werner-wunderlich.
title Incidental diagnosis of Herlyn-Werner-Wunderlich Syndrome in a nulliparous woman: a case report in Bhutan
title_full Incidental diagnosis of Herlyn-Werner-Wunderlich Syndrome in a nulliparous woman: a case report in Bhutan
title_fullStr Incidental diagnosis of Herlyn-Werner-Wunderlich Syndrome in a nulliparous woman: a case report in Bhutan
title_full_unstemmed Incidental diagnosis of Herlyn-Werner-Wunderlich Syndrome in a nulliparous woman: a case report in Bhutan
title_short Incidental diagnosis of Herlyn-Werner-Wunderlich Syndrome in a nulliparous woman: a case report in Bhutan
title_sort incidental diagnosis of herlyn werner wunderlich syndrome in a nulliparous woman a case report in bhutan
topic bhutan; case report;herlyn-werner-wunderlich.
url https://bhj.com.bt/index.php/bhj/article/view/195
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AT geetapradhan incidentaldiagnosisofherlynwernerwunderlichsyndromeinanulliparouswomanacasereportinbhutan
AT ugyentshomo incidentaldiagnosisofherlynwernerwunderlichsyndromeinanulliparouswomanacasereportinbhutan