Herlyn-werner-wunderlich syndrome with ureteric remnant abscess managed laparoscopically : a case report
Joint Authors
Meneses, Aurus Dourado
Filho, Walberto Monteiro Neiva Eulalio
Raulino, Debora Maria Ribeiro
Martins, Eduardo Bruno Lobato
Vieira, Sabas Carlos
Source
Issue
Vol. 32, Issue 2 (31 Mar. 2017), pp.157-160, 4 p.
Publisher
Publication Date
2017-03-31
Country of Publication
Oman
No. of Pages
4
Main Subjects
Abstract EN
Herlyn-Werner-Wunderlich (HWW) syndrome is part of a spectrum of Müllerian duct anomalies that occur during embryonic development.
The syndrome is characterized by uterus didelphys, obstructed hemivagina, and ipsilateral renal agenesis.
Only few cases of this disease were reported worldwide.
We present a 23-year-old female patient with chronic pelvic pain for years.
The patient was diagnosed with HWW syndrome with a history of hematocolpos and vaginoplasty at the age of 12.
Five months later, she sought urgent medical care due to intense pain, and a clinical picture suggestive of peritoneal irritation.
Clinical condition deteriorated and the patient underwent an exploratory laparotomy, which failed to identify anything to justify the abdominal pain.
Uroculture and blood culture were negative.
A magnetic resonance imaging showed a tube-shaped formations extending from the right retrovesical region to the mesogastrium corresponding to the persistence of the mesonephric duct, related to ipsilateral renal agenesis.
The patient underwent laparoscopic procedure, identifying a right ureteric remnant blind ending, with distal and proximal obliteration, filled with purulent secretion, which was totally resected.
This case differs from the other reported cases due to pelvic pain secondary to infection and abscess in ureteric remnant.
We did not find any case with similar clinical presentation.
American Psychological Association (APA)
Meneses, Aurus Dourado& Filho, Walberto Monteiro Neiva Eulalio& Raulino, Debora Maria Ribeiro& Martins, Eduardo Bruno Lobato& Vieira, Sabas Carlos. 2017. Herlyn-werner-wunderlich syndrome with ureteric remnant abscess managed laparoscopically : a case report. Oman Medical Journal،Vol. 32, no. 2, pp.157-160.
https://search.emarefa.net/detail/BIM-784716
Modern Language Association (MLA)
Meneses, Aurus Dourado…[et al.]. Herlyn-werner-wunderlich syndrome with ureteric remnant abscess managed laparoscopically : a case report. Oman Medical Journal Vol. 32, no. 2 (Mar. 2017), pp.157-160.
https://search.emarefa.net/detail/BIM-784716
American Medical Association (AMA)
Meneses, Aurus Dourado& Filho, Walberto Monteiro Neiva Eulalio& Raulino, Debora Maria Ribeiro& Martins, Eduardo Bruno Lobato& Vieira, Sabas Carlos. Herlyn-werner-wunderlich syndrome with ureteric remnant abscess managed laparoscopically : a case report. Oman Medical Journal. 2017. Vol. 32, no. 2, pp.157-160.
https://search.emarefa.net/detail/BIM-784716
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 160
Record ID
BIM-784716