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Published on: May 10, 2022
Obstructed hemivagina and ipsilateral renal agenesis (OHVIRA) syndrome: A case report
Ryosuke Arakaki1, Kanako Yoshida1, Junki Imaizumi2
1Department of Obstetrics and Gynecology, Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan.
Introduction:
Obstructed hemivagina and ipsilateral renal agenesis (OHVIRA) is a rare urogenital malformation. The clinical symptoms of OHVIRA include uterine morphology abnormality, persistent vaginal discharge, and renal anomaly or agenesis. Delayed diagnosis can lead to complications, such as pelvic inflammatory disease, adhesion to the oviduct, and endometriosis.
Presentation Of Case:
We report the case of a 12-year-old girl who presented with severe dysmenorrhea and abnormal vaginal discharge. The patient was diagnosed with OHVIRA based on magnetic resonance imaging findings. The patient underwent combined transvaginal and laparoscopic surgery for drainage of hematocolpos and adhesiolysis of the pelvic cavity. The patient had an uncomplicated recovery and normal menstrual cycle after surgery.
Discussion:
OHVIRA is a rare syndrome, of which delayed diagnosis may result in the development of endometriosis.
Conclusion:
We report that a combined laparoscopic and transvaginal approach was useful for treating OHVIRA with oviductal hematoma.
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