title: Herlyn-Werner-Wunderlich syndrome: a case report.
abstract: Herlyn-Werner-Wunderlich (HWW) syndrome is a rare congenital disorder of the Müllerian ducts in which there is uterus didelphys, obstructed hemivagina and unilateral renal agenesis. The most common presentation is an abdominal mass secondary to hematocolpos, pain and dysmenorrhea. However, in some cases, such as the one we present here, menses are normal due to an obstructed hemivagina, and diagnosis can be delayed. We describe evaluation and surgical management of a 13-year-old girl with this condition who was diagnosed by computed tomography (CT) scan and confirmed by pelvic ultrasound and surgical exploration, as well as a review of the literature.
authors.affiliation: Department of Surgery, University of Texas Health Science Center, San Antonio, TX, USA.
authors.forename: Pedro Salomao
authors.initials: PS
authors.lastname: Piccinini
authors.affiliation: Children's Hospital of San Antonio, San Antonio, TX, USA.
authors.forename: John
authors.initials: J
authors.lastname: Doski
mesh_terms: D000015:Abnormalities, Multiple / Q000175:diagnosis*; D000293:Adolescent; D005260:Female; D006801:Humans; D007668:Kidney / Q000002:abnormalities*; D009095:Mullerian Ducts / Q000002:abnormalities*; D013577:Syndrome; D014599:Uterus / Q000002:abnormalities*; D014621:Vagina / Q000002:abnormalities*