Dismenorrea por sindrome de herlyn-werner-wunderlich

  1. Azpeitia Rodríguez, M 1
  2. Román, A 1
  3. Escudero Caro, T 2
  4. González Tejero, MC 1
  5. Navarro Monje, M 1
  6. Vázquez Camino, F 1
  1. 1 Servicio Ginecología y Obstetricia. Hospital Universitario Río Hortega. Valladolid. España.
  2. 2 Servicio Radiología. Hospital Universitario Río Hortega. Valladolid. España.
Journal:
Revista española de investigaciones quirúrgicas

ISSN: 1139-8264

Year of publication: 2018

Volume: 21

Issue: 1

Pages: 13-15

Type: Article

More publications in: Revista española de investigaciones quirúrgicas

Abstract

Herlyn-Werner-Wünderlich syndrome (HWW) is a rare Mullerian congenital abnormality. This syndrome is characterized by the association between didelphis uterus, obstructive vaginal septum, and homolateral renal agenesis. We report the case of a 48-year-old female who was diagnosed with this syndrome in the context of dysmenorrhea and pelvic pain. During physical examination, an orifice on the left lateral aspect of the vagina was visualized and it was compatible with a rudimentary vagina. Magnetic resonance confirmed this finding and showed a didelphis uterus and left renal agenesis. Due to the age of the patient and the absence of gestational desire, a total hysterectomy with double-annexectomy was performed.