Herlyn-Werner-Wunderlich Syndrome: A Rare Cause of Pelvic Pain and High CA 19-9 Levels in an Adolescent Girl

Emel Unal, Hikmet Gulsah Tanyildiz, Murat Sonmezer, Hatice Gul Erkol, Suat Fitoz

Abstract


Herlyn-Werner-Wunderlich (HWW) syndrome is a rare developmental anomaly that includes uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis. A 13-year-old girl presented with chronic abdominal pain. Magnetic resonance imaging revealed uterus didelphys, hematometrocolpos and renal agenesis on the right side with imperforate hymen. Subsequently the patient was found to have Müllerian duct anomalies. CA 19-9 level was high. At laparoscopy combined with vaginoscopy hematocolpos was drained following which she improved clinically and CA 19-9 level returned to normal.


Keywords


Müllerian duct anomaly, Renal agenesis, Herlyn-Werner-Wunderlich Syndrome, CA 19-9

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Copyright (c) 2015 APSP Journal of Case Reports

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ISSN: 2218-8185

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