Herlyn-Werner-Wunderlich syndrome (HWWS) - A case series and review of literature
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 7
Abstract
Herlyn- Werner- Wunderlich syndrome is a rare congenital anomaly of the Mullerian and Mesonephric ducts characterised by a triad of uterine didelphys, obstructed hemivagina and ipsilateral renal agenesis. Prevalence is 0.1 3.8%. Exact etiology is not known.We at Dr D Y Patil hospital, Mumbai, present a case series of this rare syndrome at our tertiary health care unit followed by a meticulous review of literature of similar cases and case series related to the topic. All the 3 cases had a varied presentation ranging from one at menarche with dysmenorrhoea, the other one with infertility and the last one with successful spontaneous conception with a previous preterm vaginal delivery and current pregnancy with malposition that delivered at term. USG is the gold standard a for diagnosis and MRI is a better modality for confirmation of diagnosis and planning further management. Management is by resection of the septum followed by drainage of the collection- hematocolpos or hematometra, amd in some cases ipsilateral hysterectomy in cases with non communicating horn. Fertility improves after surgical correction but abortion rates are high. Prognosis is good if diagnosed and treated early.
Authors and Affiliations
Himgauri B Sabnis, Alka Dani
Keywords
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