Herlyn-Werner-Wunderlich Syndrome: Merits of Sonographic and Magnetic Resonance Imaging for Accurate Diagnosis and Patient Management in 13 Cases

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dc.contributor.authorYavuz, Alpaslan
dc.contributor.authorBora, Aydin
dc.contributor.authorKurdoglu, Mertihan
dc.contributor.authorGoya, Cemil
dc.contributor.authorKurdoglu, Zehra
dc.contributor.authorBeyazal, Mehmet
dc.contributor.authorAkdemir, Zulkuf
dc.date.accessioned2024-04-24T16:15:16Z
dc.date.available2024-04-24T16:15:16Z
dc.date.issued2015
dc.departmentDicle Üniversitesien_US
dc.description.abstractStudy Objective: To review the main sonographic and magnetic resonance imaging manifestations of Herlyn-Werner-Wunderlich syndrome, characterized by uterus didelphys, obstructed hemivagina, and ipsilateral renal agenesis, and to discuss the value of techniques for its diagnosis and treatment. Participants: Thirteen patients with Herlyn-Werner-Wunderlich syndrome referred to our department with acute abdomen were identified for the period from 2009-2012. Design: Retrospective chart review. Setting: Two tertiary academic centers. Interventions: None. Main Outcome Measures: The evaluation of the clinical features, ultrasonography and magnetic resonance imaging findings, and the treatment protocols. Results: Ultrasonographic evaluation of didelphic or double uterus in 10 and bicomuate-bicollis uterus in 3 patients with hematocolpos or hematometrocolpos associated with agenesis of the ipsilateral kidney revealed the diagnosis. In 10 patients, magnetic resonance imaging provided extra information. In 1 patient, a 25-week pregnancy was additionally detected and follow-up was suggested. Seven patients underwent surgical excision of the septum and drainage of the obstructed vagina. Total hysterectomy and hemicolpectomy were performed in 1 patient with 2 children suffering from severe chronic pelvic pain due to pelvic inflammatory disease. Conclusions: Despite its rarity, accurate diagnosis and morphologic description of Herlyn-Werner-Wunderlich syndrome with radiologic modalities are of importance in relieving the clinical complaints by enabling the suitable surgical treatment to be identified.en_US
dc.identifier.doi10.1016/j.jpag.2014.03.004
dc.identifier.endpage52en_US
dc.identifier.issn1083-3188
dc.identifier.issn1873-4332
dc.identifier.issue1en_US
dc.identifier.pmid25444057
dc.identifier.scopus2-s2.0-84920668757
dc.identifier.scopusqualityQ2
dc.identifier.startpage47en_US
dc.identifier.urihttps://doi.org/10.1016/j.jpag.2014.03.004
dc.identifier.urihttps://hdl.handle.net/11468/15733
dc.identifier.volume28en_US
dc.identifier.wosWOS:000348179600010
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofJournal of Pediatric and Adolescent Gynecology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectUterus Didelphysen_US
dc.subjectObstructed Hemivaginaen_US
dc.subjectHerlyn-Werner-Wunderlich Syndromeen_US
dc.subjectUltrasonographyen_US
dc.subjectMagnetic Resonance Imagingen_US
dc.titleHerlyn-Werner-Wunderlich Syndrome: Merits of Sonographic and Magnetic Resonance Imaging for Accurate Diagnosis and Patient Management in 13 Casesen_US
dc.titleHerlyn-Werner-Wunderlich Syndrome: Merits of Sonographic and Magnetic Resonance Imaging for Accurate Diagnosis and Patient Management in 13 Cases
dc.typeArticleen_US

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