Complex Abdominal Pain in an Adolescent Female with a Mullerian Duct Anomaly: A Case Report
Caleb R Wenz1, Morgan T Sorensen1, Laurie Landeen2,3
1University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.
Abstract:
Uterine malformations occur early in embryogenesis due to abnormalities in development of paramesonephric (Mullerian) ducts. Mullerian duct anomalies can range from complete agenesis of the uterus to nonpathological variants (e.g., mildly arcuate uterus). This case study discusses an example of Herlyn-Werner-Wunderlich syndrome in an adolescent female with multiple congenital anomalies who presented with chronic, worsening abdominal pain and an enlarging mass in her lower left abdomen and pelvis. This case demonstrates the importance of a complete history and physical examination, appropriate imaging modalities, and an interdisciplinary approach to appropriately treat this patient.
More Related Videos
Related Concept Videos
Appendicitis-I: Introduction
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Abdominal Regions and Quadrants
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Assessment of the Rectum and Anus
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Chronic Pancreatitis I: Introduction
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Inflammatory Bowel Disease II: Crohn's Disease
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...


