Hysteroscopic management of an oblique vaginal septum with diverticulum in Herlyn-Werner-Wunderlich syndrome

A 13-year-old virgin girl had aggressive cyclic dysmenorrhea for 4 months. Magnetic resonance imaging (MRI) showed a diagnosis of Herlyn-Werner-Wunderlich syndrome (HWWS): uterus didelphys, double cervix, obstructed right hemivagina with anterior vaginal wall cyst, and unilateral renal agenesis. (Fig. 1). Diagnostic hysteroscopy indicated a flat hemivaginal septum, left cervix, and uterine cavity, but no right cervix or other associated channel. Hysteroscopic incision of the bulging oblique vaginal septum was performed and revealed two small openings in right vaginal wall, final diagnosis of vaginal diverticulum was made (Fig.

Source: The Journal of Minimally Invasive Gynecology - March 25, 2021 Category: OBGYN Authors: Hao Zhang( 张浩), Hongxin Pan(潘宏信) Tags: IMAGES IN Gynecological Surgery Source Type: research