Herlyn–Werner–Wünderlich syndrome: An unusual case with pres
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The patient was a 19-year-old unmarried women with no history of sexual activity, systemic disease, or surgical procedures. The interval between her menstrual cycles was irregular, and the duration of menstrual bleeding was 10–14 days. She also suffered from mild dysmenorrhea since menarche at the age of 13. She experienced progressively increasing pelvic pain in recent periods of menstruation. She was referred to outpatient department because of a suspected cervical myoma diagnosis. Transabdominal sonography revealed a double uterus and one heterogeneous myoma-mimicking mass over the left cervical region. The left kidney was absent. Magnetic resonance imaging (MRI) was used to further evaluate the patient's symptoms.

Subsequently, surgical intervention was performed. Pelvic examination was performed with the patient in the dorsal lithotomy position and under spinal anesthesia, and a protruding mass with a vaginal septum and an unperforated left hemivagina were identified. The patient underwent cervicovaginal orifice reconstruction. A wedged-shaped vertical incision was made in the left-side obstructed vaginal septum with a no. 15 blade, and approximately 250 ml of dark viscous fluid was evacuated. The lining of the obstructed vaginal septum was everted and approximated to the vaginal mucosa with interrupted sutures of 2-0 delayed absorbable material.

One month later, the patient visited outpatient clinic, and hysteroscopy was performed. Author identified the external orifice of the right cervix and retained the absorbable sutures in the left vaginal orifice. Hysteroscopy revealed a right proximal tubal ostium, left cervical external orifice and left proximal tubal ostium were also identified

Source:https://www.sciencedirect.com/science/article/pii/S1028455920302370?dgcid=rss_sd_all
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