| CASE REPORT |
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| Year : 2022 | Volume
: 11
| Issue : 5 | Page : 243-246 |
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An incidental presentation of Herlyn–Werner-Wunderlich syndrome with secondary infertility: A case report
Abiola Omobonike Adekoya1, Adeniyi Kazeem Akiseku2, Ayodeji Anike Olatunji1, Mojisola Adejoke Olusola-Bello1
1 Department of Radiology, Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria
2 Department of Obstetrics and Gynecology, Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria
Correspondence Address:
Abiola Omobonike Adekoya
Department of Radiology, Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria
Nigeria
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/2305-0500.356844
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Rationale: Herlyn-Werner-Wunderlich syndrome, also known as obstructed hemi-vagina with ipsilateral renal agenesis (OHVIRA) syndrome, is a rare congenital anomaly of the Müllerian and Wolffian ducts. It is often asymptomatic until puberty and is usually misdiagnosed as infertility.
Patient concerns: A 39-year-old woman desirous of pregnancy was referred to our radiodiagnosis unit for imaging evaluation on account of secondary infertility.
Diagnosis: Incidental discovery of uterine bicornis bicollis and blind-ending hemivagina was noted at hysterosalpingography.
Interventions: This necessitated the search for other genitourinary tract anomalies, and ipsilateral renal agenesis was also discovered.
Outcomes: A diagnosis of Herlyn-Werner-Wunderlich syndrome was made.
Lessons: Magnetic resonance imaging (MRI) is considered the gold standard imaging modality for the assessment of uterine malformations. However, in resource-poor centers where MRI is unavailable, a heightened clinical suspicion with the combination of available imaging modalities is important and reliable in making an accurate diagnosis, hence, successful management.
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