Obstructed Hemi-Vagina with Ipsilateral Renal Agenesis Syndrome in Adulthood: A Diagnostic Challenge
A patient in her early 20s presented with constant and progressive lower abdominal and back pain, mainly on the right side of the abdomen, purulent vaginal discharge and pyrexia. A radiological assessment revealed a possible tubo-ovarian abscess and the incidental diagnosis of ipsilateral renal agen...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-11-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/13/21/3377 |
| _version_ | 1797632050053775360 |
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| author | Alexandros Loukas Grammatis Femi Ajibade Dinuke Warakaulle Tunde Dada |
| author_facet | Alexandros Loukas Grammatis Femi Ajibade Dinuke Warakaulle Tunde Dada |
| author_sort | Alexandros Loukas Grammatis |
| collection | DOAJ |
| description | A patient in her early 20s presented with constant and progressive lower abdominal and back pain, mainly on the right side of the abdomen, purulent vaginal discharge and pyrexia. A radiological assessment revealed a possible tubo-ovarian abscess and the incidental diagnosis of ipsilateral renal agenesis. The patient was treated for pelvic inflammatory disease (PID); however, after antibiotic administration and since the symptoms did not resolve, an abdominal MRI was requested, which revealed uterus didelphys with two cervices, an obstructed haemivagina and evidence of haematocolpos. The diagnosis of Obstructed Hemi-Vagina with Ipsilateral Renal Agenesis (OHVIRA) syndrome was confirmed, and the patient underwent the excision of the vaginal septum, the drainage of the haematopyocolpos and the laparoscopic drainage of the tubo-ovarian abscess. She achieved a good recovery. |
| first_indexed | 2024-03-11T11:31:27Z |
| format | Article |
| id | doaj.art-315ef429c72f4240b908b2c8e588a60a |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-11T11:31:27Z |
| publishDate | 2023-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-315ef429c72f4240b908b2c8e588a60a2023-11-10T15:01:09ZengMDPI AGDiagnostics2075-44182023-11-011321337710.3390/diagnostics13213377Obstructed Hemi-Vagina with Ipsilateral Renal Agenesis Syndrome in Adulthood: A Diagnostic ChallengeAlexandros Loukas Grammatis0Femi Ajibade1Dinuke Warakaulle2Tunde Dada3Department of Obstetrics and Gynaecology, Oxford University Hospitals NHS Trust, Oxford OX3 9DU, UKDepartment of Obstetrics and Gynaecology, Cumberland Infirmary Hospital, Carlisle CA2 7HY, UKDepartment of Radiology, Buckinghamshire Healthcare NHS Trust, Aylesbury HP21 8AL, UKDepartment of Obstetrics and Gynaecology, Buckinghamshire Healthcare NHS Trust, Aylesbury HP21 8AL, UKA patient in her early 20s presented with constant and progressive lower abdominal and back pain, mainly on the right side of the abdomen, purulent vaginal discharge and pyrexia. A radiological assessment revealed a possible tubo-ovarian abscess and the incidental diagnosis of ipsilateral renal agenesis. The patient was treated for pelvic inflammatory disease (PID); however, after antibiotic administration and since the symptoms did not resolve, an abdominal MRI was requested, which revealed uterus didelphys with two cervices, an obstructed haemivagina and evidence of haematocolpos. The diagnosis of Obstructed Hemi-Vagina with Ipsilateral Renal Agenesis (OHVIRA) syndrome was confirmed, and the patient underwent the excision of the vaginal septum, the drainage of the haematopyocolpos and the laparoscopic drainage of the tubo-ovarian abscess. She achieved a good recovery.https://www.mdpi.com/2075-4418/13/21/3377OHVIRA syndromedifferential diagnosistubo-ovarian abscesscongenital syndromepelvic inflammatory diseaseMRI |
| spellingShingle | Alexandros Loukas Grammatis Femi Ajibade Dinuke Warakaulle Tunde Dada Obstructed Hemi-Vagina with Ipsilateral Renal Agenesis Syndrome in Adulthood: A Diagnostic Challenge Diagnostics OHVIRA syndrome differential diagnosis tubo-ovarian abscess congenital syndrome pelvic inflammatory disease MRI |
| title | Obstructed Hemi-Vagina with Ipsilateral Renal Agenesis Syndrome in Adulthood: A Diagnostic Challenge |
| title_full | Obstructed Hemi-Vagina with Ipsilateral Renal Agenesis Syndrome in Adulthood: A Diagnostic Challenge |
| title_fullStr | Obstructed Hemi-Vagina with Ipsilateral Renal Agenesis Syndrome in Adulthood: A Diagnostic Challenge |
| title_full_unstemmed | Obstructed Hemi-Vagina with Ipsilateral Renal Agenesis Syndrome in Adulthood: A Diagnostic Challenge |
| title_short | Obstructed Hemi-Vagina with Ipsilateral Renal Agenesis Syndrome in Adulthood: A Diagnostic Challenge |
| title_sort | obstructed hemi vagina with ipsilateral renal agenesis syndrome in adulthood a diagnostic challenge |
| topic | OHVIRA syndrome differential diagnosis tubo-ovarian abscess congenital syndrome pelvic inflammatory disease MRI |
| url | https://www.mdpi.com/2075-4418/13/21/3377 |
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