title: Pyometra and Pregnancy with Herlyn-Werner-Wunderlich Syndrome.
abstract: We describe a Herlyn-Werner-Wunderlich syndrome (HWWS) patient with previous history of infertility who got pregnant without treatment and presented a pyometra in the contralateral uterus throughout the gestational period, despite multiple antibiotic treatments. Due to the uterus' congenital anomaly and the possibility of ascending infection with subsequent abortion, this pregnancy was classified as high-risk. We believe that the partial horizontal septum in the vagina may have contributed to the closure of the gravid uterus cervix, thus ensuring that the pregnancy came to term, with an uneventful vaginal delivery.
authors.affiliation: Department of Obstetrics and Gynecology and Department of Maternal Fetal Medicine, Hospital Dr. José de Almeida, Lisbon, Portugal.
authors.forename: Maria Inês
authors.initials: MI
authors.lastname: Reis
authors.affiliation: Department of Obstetrics and Gynecology and Department of Maternal Fetal Medicine, Hospital Dr. José de Almeida, Lisbon, Portugal.
authors.forename: Ana Patrícia
authors.initials: AP
authors.lastname: Vicente
authors.affiliation: Department of Obstetrics and Gynecology and Department of Maternal Fetal Medicine, Hospital Dr. José de Almeida, Lisbon, Portugal.
authors.forename: Joana
authors.initials: J
authors.lastname: Cominho
authors.affiliation: Department of Obstetrics and Gynecology and Department of Maternal Fetal Medicine, Hospital Dr. José de Almeida, Lisbon, Portugal.
authors.forename: Andrea Sousa
authors.initials: AS
authors.lastname: Gomes
authors.affiliation: Department of Obstetrics and Gynecology and Department of Maternal Fetal Medicine, Hospital Dr. José de Almeida, Lisbon, Portugal.
authors.forename: Luísa
authors.initials: L
authors.lastname: Martins
authors.affiliation: Department of Obstetrics and Gynecology and Department of Maternal Fetal Medicine, Hospital Dr. José de Almeida, Lisbon, Portugal.
authors.forename: Filomena
authors.initials: F
authors.lastname: Nunes
mesh_terms: D000015:Abnormalities, Multiple / Q000000981:diagnostic imaging*; D000328:Adult; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000209:etiology; D007668:Kidney / Q000002:abnormalities*; D011247:Pregnancy; D055112:Pyometra; D013577:Syndrome; D016216:Ultrasonography, Prenatal; D014564:Urogenital Abnormalities / Q000150:complications / Q000000981:diagnostic imaging*; D014599:Uterus / Q000002:abnormalities* / Q000000981:diagnostic imaging; D014621:Vagina / Q000002:abnormalities / Q000000981:diagnostic imaging