Delayed Presentation of Herlyn-Werner-Wunderlich Syndrome; A Rare Congenital Anomaly: A Case Report and literature Review

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Abstract

Herlyn-Werner-Wunderlich syndrome (HWWs) is a rare müllerian abnormality resulting in varying presentation, especially after puberty. A baseline pelvic ultrasound scan can help in diagnosis. The quality of life for these patients can be improved by timely and adequate surgical care., who otherwise may suffer from prolonged ongoing symptoms and complications in the future due to these anatomical abnormalities. Background: Herlyn-Werner-Wunderlich Syndrome (HWWs) is a rare congenital condition involving uterus didelphys, obstructed hemi-vagina, and ipsilateral renal agenesis due to abnormal development of ducts. Diagnosing Müllerian anomalies can be challenging due to varying symptoms. The case of delayed HWW s presentation in a patient is discussed, emphasizing the need for early referral to specialized care. Case: A 25-year-old woman with a history of recurrent UTIs as well as a single right kidney was diagnosed with Herlyn-Werner-Wunderlich Syndrome (HWWs), a rare condition involving obstructed hemi-vagina, uterus didelphys and ipsilateral renal agenesis. Surgical intervention successfully was a suitable treatment for this condition, and the patient was referred to a urologist for further urinary symptoms management. Conclusion: Herlyn-Werner-Wunderlich syndrome diagnosis is challenging, but early detection with pelvic ultrasound can aid in diagnosis; treatment involves resecting the hemivaginal septum.
罕见的先天性畸形--Herlyn-Werner-Wunderlich 综合征的延迟表现:病例报告和文献综述
Herlyn-Werner-Wunderlich综合征(HWWs)是一种罕见的缪勒氏管异常,表现各异,尤其是在青春期之后。基线盆腔超声扫描有助于诊断。及时、充分的手术治疗可以提高这些患者的生活质量,否则他们可能会因这些解剖异常而在未来遭受长期持续的症状和并发症的折磨。背景:Herlyn-Werner-Wunderlich综合征(HWWs)是一种罕见的先天性疾病,包括无子宫、半阴道梗阻和由于导管发育异常导致的同侧肾脏发育不全。由于症状各异,诊断穆勒氏管畸形具有挑战性。本病例讨论了一名患者的延迟HWW s表现,强调了尽早转诊至专科治疗的必要性。病例:一名 25 岁的女性被诊断出患有 Herlyn-Werner-Wunderlich 综合征(HWWs),这是一种罕见的疾病,包括半阴道梗阻、子宫无蒂和同侧肾脏发育不良。手术干预成功地治疗了这一病症,患者被转诊至泌尿科医生处接受进一步的泌尿系统症状治疗。结论Herlyn-Werner-Wunderlich综合征的诊断具有挑战性,但盆腔超声的早期发现有助于诊断;治疗包括切除半阴道隔。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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