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Herlyn-Werner-Wunderlich syndrome complicated with pyocolpos: An unusual cause of postabortal sepsis

Publication Type : Journal Article

Publisher : Journal of Gynecological Endoscopy and Surgery

Source : Journal of Gynecological Endoscopy and Surgery, Volume 2, Number 2, p.105-108 (2011)

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Keywords : acute abdomen, adult, antibiotic agent, antibiotic therapy, article, case report, cauterization, clinical examination, dilation and evacuation, disease association, female, fever, gynecological examination, hemivagina, herlyn werner wunderlich syndrome, histopathology, human, kidney agenesis, laboratory test, laparoscopy, menarche, missed abortion, Muellerian duct, neutrophilia, nuclear magnetic resonance imaging, postabortal sepsis, pyocolpos, septic abortion, tachycardia, uterus bicornis, uterus didelphys, vagina discharge, vagina disease

Campus : Kochi

School : School of Medicine

Department : Obstetrics & Gynaecology

Year : 2011

Abstract : Obstructive mullerian anomalies give rise to a spectrum of clinical presentations and are uncommon in routine gynecologic practice. The patient usually becomes symptomatic in early reproductive years. Recurrent pelvic pain, dysmenorrhea, enlarging abdominopelvic mass, and abnormal vaginal discharge are the common presenting symptoms. We describe a rare case of a mullerian anomaly getting diagnosed 13 years after attaining menarche during the evaluation of postabortal sepsis. Patient presented 2 weeks following evacuation carried out for missed abortion, with acute abdominal pain, fever and foul smelling discharge per vaginum. The anomaly was identified as uterus didelphys with obstructed left hemivagina and ipsilateral renal agenesis (Herlyn-Werner- Wunderlich syndrome) complicated by pyocolpos. She was successfully managed by single-stage transvaginal septum resection under laparoscopic control.

Cite this Research Publication : D. Sharma, Janu, M. K., Gaikwad, R., and Usha, M. C., “Herlyn-Werner-Wunderlich syndrome complicated with pyocolpos: An unusual cause of postabortal sepsis”, Journal of Gynecological Endoscopy and Surgery, vol. 2, pp. 105-108, 2011.

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