Incidental diagnosis of Herlyn-Werner-Wunderlich Syndrome in a nulliparous woman: a case report in Bhutan

Authors

  • Dhrupthob Sonam Department of General Practice, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan
  • Geeta Pradhan Department of Radio-diagnosis & Imaging, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan
  • Ugyen Tshomo Department of Obstetrics & Gynecology, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan

DOI:

https://doi.org/10.47811/bhj.126

Keywords:

Bhutan; case report;Herlyn-Werner-Wunderlich.

Abstract

Herlyn-Werner-Wunderlich syndrome (HWWS) is a rare congenital syndrome with features of uterus didelphys, ipsilateral absent kidney and obstructed hemivagina. Ultrasound findings of absent kidney or abnormalities in the kidney should alert the clinicians about the syndrome. Complications like endometriosis, infertility and pelvic inflammation occurs with late diagnosis.A 42-yearold nulliparious married woman who presented with right sided abdominal pain to the National Referral Hospital was diagnosed to have HWWS. The diagnosis was supported by ultrasound, CT and MRI findings. Patient was treated for endometriosis and had symptomatic improvement. The diagnosis of the syndrome is challenging as it is rare but clinicians should suspect the syndrome in women who present with infertility. Ultrasound scan is the basic investigation to screen the syndrome which is available in most hospitals.

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Published

2021-11-18

How to Cite

Sonam, D., Pradhan, G. ., & Tshomo, U. . (2021). Incidental diagnosis of Herlyn-Werner-Wunderlich Syndrome in a nulliparous woman: a case report in Bhutan. Bhutan Health Journal, 7(2), 24–27. https://doi.org/10.47811/bhj.126

Issue

Section

Case Report