A case of Herlyn-Werner-Wunderlich syndrome with exacerbation of hematometra after adnexectomy.
Asian J Endosc Surg
; 17(4): e13361, 2024 Oct.
Article
em En
| MEDLINE
| ID: mdl-39039742
ABSTRACT
A 27-year-old nulliparous woman presented with a feeling of fullness in the lower abdomen and abdominal pain. A left ovarian tumor, uterus didelphys, left renal agenesis, and left vaginal atresia were observed on imaging. The ovarian tumor was presumed to have caused the abdominal pain, and an abdominal left adnexectomy was performed. After 3 months, she reported severe lower abdominal pain during menstruation. Transvaginal ultrasonography revealed uterine enlargement. After 17 days, the patient presented with abdominal pain and fever. She was diagnosed with peritonitis due to infection and left uterine hematometra. Because she did not improve with antibiotic treatment, left laparoscopic hysterectomy was performed. Subsequently, she did not experience the lower abdominal pain. Appropriate diagnosis and treatment based on the morphology of the reproductive tract and symptoms must be considered in patients with Herlyn-Werner-Wunderlich syndrome. Treatment must permit the outflow of menstrual blood.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Temas:
Geral
/
Saude_da_mulher
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Colo_do_utero
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Colo_do_utero
Base de dados:
MEDLINE
Assunto principal:
Útero
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Vagina
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Hematometra
Limite:
Adult
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Female
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Humans
Idioma:
En
Revista:
Asian J Endosc Surg
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Japão