Herlyn Werner Wunderlich Syndrome with Hydrocolpos: A Case Report

Area of Science:

• Reproductive medicine
• Pediatric surgery
• Medical imaging

Background:

• Herlyn-Werner-Wunderlich Syndrome (HWWS) is a rare congenital malformation of the urogenital tract.
• It involves anomalies of both Mullerian and Wolffian ducts, typically presenting as uterine didelphys, obstructed vagina, and unilateral renal agenesis.
• Delayed diagnosis can lead to severe gynecological complications.

Observation:

• A 14-year-old girl presented with right flank pain.
• Ultrasound imaging facilitated the diagnosis of Herlyn-Werner-Wunderlich Syndrome.
• The patient underwent surgical intervention, including hydrocolpos drainage and vaginal septum marsupialization.

Findings:

• Successful surgical management of Herlyn-Werner-Wunderlich Syndrome was achieved.
• The patient experienced symptomatic improvement two weeks post-surgery.
• No immediate complications were noted following the procedure.

Implications:

• Timely diagnosis and surgical intervention are critical for managing HWWS.
• Effective treatment can prevent adverse gynecological outcomes.
• This case highlights the importance of diagnostic imaging in identifying rare congenital anomalies.