Obstructed hemivagina and ipsilateral renal anomaly with uterus didelphys and vaginal discharge
Year: 2013
Type: article
Study design: Case Report
Abstract: Vaginal discharge is one of the most common vaginal symptoms whose causative conditions include vaginal candidiasis, chlamydial cervicitis, bacterial vaginosis, and cervical carcinoma [1].The syndrome of obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) was first reported in 1922, and it is also known as HerlyneWernereWunderlich syndrome.The concomitant uterine anomaly has been described as didelphys or duplicated uterus [2,3].The typical patient is an adolescent girl with nonspecific symptoms such as pelvic pain or dysmenorrhea.This is a case report of a 19-year-old female patient who presented to our obstetrics and gynecology department with frequent, copious amounts of blood-tinged, foul-swelling vaginal discharge.Since the age of 14 years, the patient has had frequent consultations with physicians at various clinics regarding this vaginal discharge.Symptoms would resolve after every antibiotic treatment.Menarche occurred at the age of 12 years, and thereafter the patient claimed to have a regular monthly menstrual interval every 28e30 days lasting for 5e7 days.The patient stated that her father and aunt have polycystic kidney disease.The gross appearance of her external genitalia was normal.A speculum examination was not performed because of the absence of a history of sexual intercourse.Other physical and systemic examinations were unremarkable.Abdominal ultrasound revealed a large, well-defined cystic lesion with a hypoechogenic elliptical cystic mass (Fig. 1A).A detailed sonogram revealed a double uterine fundus with its corresponding endometrial canals (Fig. 1).Both ovaries appeared normal.In addition, absence of the right kidney and a left cystic kidney were noted.
Authors: Tsai-Bei Lin, Men-Fong Hsieh, Shu-Chen Han, Wei-Li Chin, Yu-Ling Hsueh
Institutions: Tainan Municipal Hospital, Tainan Hospital
Language: English
Subfield: Obstetrics and Gynecology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W1980295306