Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome: A case report

Background: Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) or Herlyn-Werner-Wunderlich syndrome, is a rare Mullerian duct anomaly with uterus didelphys, unilateral obstructed hemivagina, and ipsilateral renal agenesis. Patients with this anomaly usually present after menarche with pelv...

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Main Authors: Mohamed Amin Elgohary, Rushikesh Naik, Mohamed Elkafafi, Hussein Hamed, Yaser Ali
Format: Article
Language:English
Published: Elsevier 2023-08-01
Series:Journal of Pediatric Surgery Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S221357662300088X
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author Mohamed Amin Elgohary
Rushikesh Naik
Mohamed Elkafafi
Hussein Hamed
Yaser Ali
author_facet Mohamed Amin Elgohary
Rushikesh Naik
Mohamed Elkafafi
Hussein Hamed
Yaser Ali
author_sort Mohamed Amin Elgohary
collection DOAJ
description Background: Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) or Herlyn-Werner-Wunderlich syndrome, is a rare Mullerian duct anomaly with uterus didelphys, unilateral obstructed hemivagina, and ipsilateral renal agenesis. Patients with this anomaly usually present after menarche with pelvic pain and/or an abdominal mass. Case presentation: We are reporting a case of an 11-year-old girl with lower abdominal pain and lower abdominal tenderness in whom radiological investigations confirmed the diagnosis of OHVIRA syndrome. The case was managed successfully by excision of the vaginal septum. Conclusion: The triad of uterine didelphys, obstructed hemivagina, and ipsilateral renal anomaly, known as OHVIRA syndrome, is a rare congenital anomaly. It represents a diagnostic dilemma because of the regular menstruation and nonspecific lower abdominal pain. Health care providers should be aware of the presentation and diagnosis of this condition to facilitate early and accurate management.
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spelling doaj.art-d4597c2777c944b0b181b8155b963c632023-06-19T04:27:58ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662023-08-0195102662Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome: A case reportMohamed Amin Elgohary0Rushikesh Naik1Mohamed Elkafafi2Hussein Hamed3Yaser Ali4Corresponding author.; Burjeel Hospital, Abu Dhabi, United Arab EmiratesBurjeel Hospital, Abu Dhabi, United Arab EmiratesBurjeel Hospital, Abu Dhabi, United Arab EmiratesBurjeel Hospital, Abu Dhabi, United Arab EmiratesBurjeel Hospital, Abu Dhabi, United Arab EmiratesBackground: Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) or Herlyn-Werner-Wunderlich syndrome, is a rare Mullerian duct anomaly with uterus didelphys, unilateral obstructed hemivagina, and ipsilateral renal agenesis. Patients with this anomaly usually present after menarche with pelvic pain and/or an abdominal mass. Case presentation: We are reporting a case of an 11-year-old girl with lower abdominal pain and lower abdominal tenderness in whom radiological investigations confirmed the diagnosis of OHVIRA syndrome. The case was managed successfully by excision of the vaginal septum. Conclusion: The triad of uterine didelphys, obstructed hemivagina, and ipsilateral renal anomaly, known as OHVIRA syndrome, is a rare congenital anomaly. It represents a diagnostic dilemma because of the regular menstruation and nonspecific lower abdominal pain. Health care providers should be aware of the presentation and diagnosis of this condition to facilitate early and accurate management.http://www.sciencedirect.com/science/article/pii/S221357662300088XMüllerian anomalyObstructed vaginaOHVIRA syndromeCase report
spellingShingle Mohamed Amin Elgohary
Rushikesh Naik
Mohamed Elkafafi
Hussein Hamed
Yaser Ali
Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome: A case report
Journal of Pediatric Surgery Case Reports
Müllerian anomaly
Obstructed vagina
OHVIRA syndrome
Case report
title Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome: A case report
title_full Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome: A case report
title_fullStr Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome: A case report
title_full_unstemmed Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome: A case report
title_short Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome: A case report
title_sort obstructed hemivagina and ipsilateral renal anomaly ohvira syndrome a case report
topic Müllerian anomaly
Obstructed vagina
OHVIRA syndrome
Case report
url http://www.sciencedirect.com/science/article/pii/S221357662300088X
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AT rushikeshnaik obstructedhemivaginaandipsilateralrenalanomalyohvirasyndromeacasereport
AT mohamedelkafafi obstructedhemivaginaandipsilateralrenalanomalyohvirasyndromeacasereport
AT husseinhamed obstructedhemivaginaandipsilateralrenalanomalyohvirasyndromeacasereport
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