Herlyn-Werner-Wunderlich syndrome: a case report.

Area of Science:

• Reproductive medicine
• Pediatric surgery
• Medical imaging

Background:

• Herlyn-Werner-Wunderlich (HWW) syndrome is a rare congenital anomaly affecting Müllerian duct development.
• It classically presents with uterus didelphys, obstructed hemivagina, and ipsilateral renal agenesis.
• Typical symptoms include abdominal mass, pain, and dysmenorrhea due to hematocolpos.

Observation:

• This case presents a 13-year-old girl with HWW syndrome.
• Her menses were normal, leading to a potential diagnostic delay.
• Diagnosis was achieved through computed tomography (CT) scan, pelvic ultrasound, and surgical exploration.

Findings:

• The study details the evaluation and surgical management of a patient with HWW syndrome.
• It emphasizes that normal menstruation does not exclude the condition.
• Diagnostic imaging modalities like CT and ultrasound are crucial for identification.

Implications:

• This case highlights the importance of considering HWW syndrome even with atypical presentations like normal menses.
• Early and accurate diagnosis through imaging and surgical confirmation is vital for effective management.
• Understanding this rare condition aids in timely intervention and improved patient outcomes in pediatric gynecology.