Case Report
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A Rare Cause of Abdominal Pain: Herlyn-Werner- Wunderlich Syndrome

Year 2023, Volume: 14 Issue: 4, 87 - 90, 31.12.2023
https://doi.org/10.33706/jemcr.1333411

Abstract

Herlyn-Werner-Wunderlich (HWW) syndrome is a congenital urogenital syndrome. Typical features are unilateral blind-ending hemivagina with uterine didelphy and ipsilateral renal agenesis. Patients usually progress asymptomatically until menarche, and they are diagnosed with radiological imaging by applying to the hospital with these conditions such as abdominal pain, abdominal bloating, primary amenorrhea along with menarche. In this case report, it is aimed to present a patient who applied to our emergency department with abdominal pain and is diagnosed with HWW syndrome. In this case, it is emphasized that emergency physicians should regard to HWW syndrome in the differential diagnosis of abdominal pain.

References

  • Onur ÖE, Ünlüer EE, Denizbaşı A, Güneysel Ö. The role of interleukin 6 and tumor necrosis factor alpha in the determination of acute surgical abdomen in patients admitted to the emergency department with abdominal pain. Marmara Medical Journal 2009;22:97-103.
  • Tokmak A. et al., Müllerian Canal Anomalies, Journal of Gynecology -Obstetrics and NeonatologyMedical 2015;12(2):83 – 88
  • Golan A, Langer R, Bukovsky I, Caspi E.Congenital anomalies of the Müllerian system. FertilSteril. 1989;51(5):747-55.
  • Hollander MH, Verdonk PV, Trap K. Unilateral renal agenesis and associated Mullerian anomalies: a case report and recommendations for pre-adolescent screening. J PediatrAdolesc Gynecol. 2008;21(3):151-3.
  • BülbülErdoğan M, Üreyen E, Adalı E, Herlyn-Werner-Wunderlich Sendromu. Türkiye KlinikleriJinekolojiObstetrikDergisi, ,Taşkınİslimye, 2017;27(2):101-105
  • Arslan S, Öner V, Öner Ö, A Rare Cause of Pelvic Pain: Imaging Findings of Herlyn-Werner-Wunderlich Syndrome Aegean J Med Sci 2018;3:116-118
  • Wu TH, Wu TT, Ng YY, Ng SC, Su PH, Chen JY, et al. HerlynWerner-Wunderlich syndrome consisting of uterine didelphys, obstructed hemivagina and ipsilateral renal agenesis in a newborn. PediatrNeonatol. 2012;53(1):68-71.
  • Piccinini PS, Doski J. Herlyn-Werner-Wunderlich syndrome: a case report. Rev Bras Ginecol Obstet. 2015;37(4):192-6.
  • Orazi C, Lucchetti MC, Schingo PM, Marchetti P, Ferro F. Herlyn-Werner-Wunderlich syndrome: uterus didelphys, blind hemivagina and ipsilateral renal agenesis. Sonographic and MR findings in 11 cases. PediatrRadiol. 2007;37(7):657-65.
  • Widyakusuma LS, Lisnawati Y, Pudyastuti S, Haloho AH. A rare case of pelvic pain caused by Herlyn-Werner-Wunderlich Syndrome in an adult: A case report. Int J Surg Case Rep. 2018;49:106-9.
  • Sharma R, Dey A.K., Mittal K, Kumar P., Use of imaging in diagnosis of Herlyn-Werner-Wunderlich syndrome, a case report, J. Obstet. Gynaecol., 2016;36(7):873-875
  • Smith NA, Laufer MR. Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome: management and followup. FertilSteril. 2007;87(4):918-22.
  • GungorUgurlucan F, Bastu E, Gulsen G, Kurek Eken M, Akhan SE. OHVIRA syndrome presenting with acute abdomen: a case report and review of the literature. Clin Imaging. 2014;38(3):357-9.
Year 2023, Volume: 14 Issue: 4, 87 - 90, 31.12.2023
https://doi.org/10.33706/jemcr.1333411

Abstract

References

  • Onur ÖE, Ünlüer EE, Denizbaşı A, Güneysel Ö. The role of interleukin 6 and tumor necrosis factor alpha in the determination of acute surgical abdomen in patients admitted to the emergency department with abdominal pain. Marmara Medical Journal 2009;22:97-103.
  • Tokmak A. et al., Müllerian Canal Anomalies, Journal of Gynecology -Obstetrics and NeonatologyMedical 2015;12(2):83 – 88
  • Golan A, Langer R, Bukovsky I, Caspi E.Congenital anomalies of the Müllerian system. FertilSteril. 1989;51(5):747-55.
  • Hollander MH, Verdonk PV, Trap K. Unilateral renal agenesis and associated Mullerian anomalies: a case report and recommendations for pre-adolescent screening. J PediatrAdolesc Gynecol. 2008;21(3):151-3.
  • BülbülErdoğan M, Üreyen E, Adalı E, Herlyn-Werner-Wunderlich Sendromu. Türkiye KlinikleriJinekolojiObstetrikDergisi, ,Taşkınİslimye, 2017;27(2):101-105
  • Arslan S, Öner V, Öner Ö, A Rare Cause of Pelvic Pain: Imaging Findings of Herlyn-Werner-Wunderlich Syndrome Aegean J Med Sci 2018;3:116-118
  • Wu TH, Wu TT, Ng YY, Ng SC, Su PH, Chen JY, et al. HerlynWerner-Wunderlich syndrome consisting of uterine didelphys, obstructed hemivagina and ipsilateral renal agenesis in a newborn. PediatrNeonatol. 2012;53(1):68-71.
  • Piccinini PS, Doski J. Herlyn-Werner-Wunderlich syndrome: a case report. Rev Bras Ginecol Obstet. 2015;37(4):192-6.
  • Orazi C, Lucchetti MC, Schingo PM, Marchetti P, Ferro F. Herlyn-Werner-Wunderlich syndrome: uterus didelphys, blind hemivagina and ipsilateral renal agenesis. Sonographic and MR findings in 11 cases. PediatrRadiol. 2007;37(7):657-65.
  • Widyakusuma LS, Lisnawati Y, Pudyastuti S, Haloho AH. A rare case of pelvic pain caused by Herlyn-Werner-Wunderlich Syndrome in an adult: A case report. Int J Surg Case Rep. 2018;49:106-9.
  • Sharma R, Dey A.K., Mittal K, Kumar P., Use of imaging in diagnosis of Herlyn-Werner-Wunderlich syndrome, a case report, J. Obstet. Gynaecol., 2016;36(7):873-875
  • Smith NA, Laufer MR. Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome: management and followup. FertilSteril. 2007;87(4):918-22.
  • GungorUgurlucan F, Bastu E, Gulsen G, Kurek Eken M, Akhan SE. OHVIRA syndrome presenting with acute abdomen: a case report and review of the literature. Clin Imaging. 2014;38(3):357-9.
There are 13 citations in total.

Details

Primary Language English
Subjects Emergency Medicine
Journal Section Case Report
Authors

Fatih Mehmet Aksoy 0000-0002-4087-7232

Erdal Yavuz 0000-0002-3168-6469

Kasım Turgut 0000-0003-2955-1714

Umut Gülaçtı 0000-0003-2151-7212

İrfan Aydın 0000-0003-0136-3930

Publication Date December 31, 2023
Submission Date July 26, 2023
Published in Issue Year 2023 Volume: 14 Issue: 4

Cite

APA Aksoy, F. M., Yavuz, E., Turgut, K., Gülaçtı, U., et al. (2023). A Rare Cause of Abdominal Pain: Herlyn-Werner- Wunderlich Syndrome. Journal of Emergency Medicine Case Reports, 14(4), 87-90. https://doi.org/10.33706/jemcr.1333411
AMA Aksoy FM, Yavuz E, Turgut K, Gülaçtı U, Aydın İ. A Rare Cause of Abdominal Pain: Herlyn-Werner- Wunderlich Syndrome. Journal of Emergency Medicine Case Reports. December 2023;14(4):87-90. doi:10.33706/jemcr.1333411
Chicago Aksoy, Fatih Mehmet, Erdal Yavuz, Kasım Turgut, Umut Gülaçtı, and İrfan Aydın. “A Rare Cause of Abdominal Pain: Herlyn-Werner- Wunderlich Syndrome”. Journal of Emergency Medicine Case Reports 14, no. 4 (December 2023): 87-90. https://doi.org/10.33706/jemcr.1333411.
EndNote Aksoy FM, Yavuz E, Turgut K, Gülaçtı U, Aydın İ (December 1, 2023) A Rare Cause of Abdominal Pain: Herlyn-Werner- Wunderlich Syndrome. Journal of Emergency Medicine Case Reports 14 4 87–90.
IEEE F. M. Aksoy, E. Yavuz, K. Turgut, U. Gülaçtı, and İ. Aydın, “A Rare Cause of Abdominal Pain: Herlyn-Werner- Wunderlich Syndrome”, Journal of Emergency Medicine Case Reports, vol. 14, no. 4, pp. 87–90, 2023, doi: 10.33706/jemcr.1333411.
ISNAD Aksoy, Fatih Mehmet et al. “A Rare Cause of Abdominal Pain: Herlyn-Werner- Wunderlich Syndrome”. Journal of Emergency Medicine Case Reports 14/4 (December 2023), 87-90. https://doi.org/10.33706/jemcr.1333411.
JAMA Aksoy FM, Yavuz E, Turgut K, Gülaçtı U, Aydın İ. A Rare Cause of Abdominal Pain: Herlyn-Werner- Wunderlich Syndrome. Journal of Emergency Medicine Case Reports. 2023;14:87–90.
MLA Aksoy, Fatih Mehmet et al. “A Rare Cause of Abdominal Pain: Herlyn-Werner- Wunderlich Syndrome”. Journal of Emergency Medicine Case Reports, vol. 14, no. 4, 2023, pp. 87-90, doi:10.33706/jemcr.1333411.
Vancouver Aksoy FM, Yavuz E, Turgut K, Gülaçtı U, Aydın İ. A Rare Cause of Abdominal Pain: Herlyn-Werner- Wunderlich Syndrome. Journal of Emergency Medicine Case Reports. 2023;14(4):87-90.