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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


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