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Herlyn-Wunderlich Syndrome

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The topic I chose for this journal review is about a condition called Herlyn-Werner-Wunderlich Syndrome (HWWS) with hematocolpos. Herlyn-Werner-Wunderlich Syndrome represents a type of Müllerian duct and Wolffian structure abnormalities. HWWS, can also be referred to as OHVIRA (Obstructed hemivagina and ipsilateral renal agenesis) syndrome (Karkera, 2015). This condition can represent female genital malformations by: uterus didelphys, unilateral low vaginal obstruction, and ipsilateral renal agenesis with all three of these being secondary to mesonephric duct–induced müllerian anomalies (Karkera, Bendre, Ramchandra, D’souza, 2015). What is hematocolpos? Hematocolpos is a condition in which the vagina fills up with menstrual blood and is usually caused by an imperforate hymen. This journal describes how the use of sonography helped diagnose patients with this congenital disorder.
The common signs and symptoms of Herlyn-Werner-Wunderlich Syndrome, is it normally occurs at puberty with pelvic pain, dysmenorrhea, and a vaginal or pelvic mass (Kakera, 2015). The primary symptom is lower abdominal pain turning into continuous severe pain with increasing distension of the obstructed hemivagina. On physical examination, a unilateral pelvic mass is usually felt twice as …show more content…

So, how is sonography used with this condition? Sonography is used to help diagnose this rare condition by either scanning transvaginal or endovaginal. Assisting the physician on determining the incision site is also helpful if the patient needs surgical intervention. It can also reduce the time needed for surgery and has a lower risk of biological effects than other test like CT or MRI. If surgical intervention has to be deferred for some reason, oral contraceptive pills may be prescribed for menstrual suppression to prevent further accumulation of hematocolpos and further hematometra (Ramchandra,

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