Laparoscopic Strassman metroplasty in a postmenarcheal adolescent girl with Herlyn-Werner-Wunderlich müllerian anomaly variant, obstructed noncommunicating didelphic uterus without gartner duct pseudocyst

Hiroshi Nabeshima; Mitsuo Nishimoto; Naomi Shiga; Hiroki Utsunomiya; Nobuo Yaegashi

doi:10.1016/j.jmig.2012.10.016

Laparoscopic Strassman metroplasty in a postmenarcheal adolescent girl with Herlyn-Werner-Wunderlich müllerian anomaly variant, obstructed noncommunicating didelphic uterus without gartner duct pseudocyst

J Minim Invasive Gynecol. 2013 Mar-Apr;20(2):255-8. doi: 10.1016/j.jmig.2012.10.016.

Authors

Hiroshi Nabeshima¹, Mitsuo Nishimoto, Naomi Shiga, Hiroki Utsunomiya, Nobuo Yaegashi

Affiliation

¹ Raffles Japanese Clinic, Raffles Hospital, Singapore. [email protected]

PMID: 23465264
DOI: 10.1016/j.jmig.2012.10.016

Abstract

Asymmetric obstructed uterus didelphys (Herlyn-Werner-Wunderlich syndrome), also known as obstructed hemivagina with ipsilateral renal agenesis syndrome, is a rare congenital müllerian duct anomaly. Herein we present a case report of incomplete Herlyn-Werner-Wunderlich syndrome, with absence of the hemivaginal septum, diagnosed in a 12-year-old girl. Treatment of the severe pain using an analgesic agent was ineffective. Therefore, laparoscopic metroplastic surgery via the modified Strassman procedure was performed. After surgery, the patient no longer reported dysmenorrhea.

Publication types

Case Reports

MeSH terms

Abnormalities, Multiple / surgery*
Child
Dysmenorrhea / etiology
Female
Humans
Laparoscopy*
Menarche
Mullerian Ducts / abnormalities
Mullerian Ducts / surgery*
Uterus / abnormalities
Uterus / surgery*