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Desafíos diagnósticos del síndrome OHVIRA: un reporte de caso

Paulina Tomecka¹, Adam Jagodziński², Justyna Łuczak³

¹Faculty of Medicine, Wroclaw Medical University, 50-367 Wroclaw, Poland.

Journal of clinical medicine

|January 10, 2026

Resumen

El síndrome de Herlyn-Werner-Wunderlich (OHVIRA) implica duplicación uterina, obstrucción vaginal y problemas renales. El tratamiento quirúrgico temprano resuelve los síntomas y mejora la fertilidad en adolescentes afectadas.

Área de la Ciencia:

Medicina Reproductiva
Cirugía Pediátrica
Diagnóstico por Imagen

Sus antecedentes:

El síndrome de Herlyn-Werner-Wunderlich (HWW), o síndrome OHVIRA, es una anomalía congénita rara que afecta el sistema urogenital femenino.
Caracterizado por duplicación uterina, obstrucción vaginal unilateral y agenesia renal ipsilateral, a menudo se presenta en la adolescencia con dolor pélvico y masa.

Objetivo del estudio:

Presentar un caso de síndrome OHVIRA en una paciente pediátrica.
Destacar los desafíos diagnósticos y la importancia terapéutica de la intervención quirúrgica temprana.

Principales métodos:

El diagnóstico se estableció mediante estudios de imagen en una niña de 13 años.
El tratamiento consistió en la incisión quirúrgica del tabique vaginal y la evacuación del hematocolpos.

Principales resultados:

La intervención quirúrgica condujo a la resolución de los síntomas.
Se restauró la permeabilidad del tracto reproductivo, mejorando la calidad de vida y el potencial de fertilidad.

Conclusiones:

El síndrome OHVIRA requiere consideración en adolescentes con dolor abdominal cíclico y anomalías renales.
El diagnóstico y manejo quirúrgico tempranos son cruciales para prevenir complicaciones y preservar la fertilidad.

Palabras clave:

síndrome OHVIRA anomalías congénitas del sistema reproductor femenino agenesia renal obstrucción vaginal unilateral duplicación uterina

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