Three-dimensional ultrasonographic diagnosis of uterus didelphys, obstructive hemivagina and ipsilateral renal agenesis: Herlyn-Werner-Wunderlich syndrome.

Choi, Eun Joo; Choi, Yoon Sun; Kim, Hye Min; Hahn, Woo Suk; Park, Eun Joo; Park, Won I

Case Report

Korean Journal of Obstetrics & Gynecology 2009;52(11):1180-1184.
Published online November 1, 2009.

Three-dimensional ultrasonographic diagnosis of uterus didelphys, obstructive hemivagina and ipsilateral renal agenesis: Herlyn-Werner-Wunderlich syndrome.

Eun Joo Choi, Yoon Sun Choi, Hye Min Kim, Woo Suk Hahn, Eun Joo Park, Won I Park

¹Department of Obstetrics and Gynecology, School of Medicine, Eulji University, Seoul, Korea. pwi3110@eulji.ac.kr
²Department of Radiology, School of Medicine, Eulji University, Seoul, Korea.

Abstract

Three-dimensional ultrsonography has been applied to diagnose mullerian anomalies. However, in Korea, no such case has been reported in literatures. An adolescent female was evaluated for dysmenorrhea, and a hematocolpos was found at private clinic. We performed three-dimensional ultrsonography and found uterus didelphys by confirming seperated uterine fundi and cervices. Abscence of right kidney was also found by ultrsonography. The diagnosis of Herlyn-Werner-Wunderlich syndrome was made and marsupialization of the right hemivagina was performed, with relief of symptoms.

Key Words: Mullerian ducts abnormalities, Three-dimensional imaging, Ultrasonography