Laparoscopic Strassman Metroplasty in a Postmenarcheal Adolescent Girl With Herlyn-Werner-Wunderlich M¨¹llerian Anomaly Variant, Obstructed Noncommunicating Didelphic Uterus Without Gartner Duct Pseudocyst

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• 作者：Hiroshi Nabeshima ; MD ; PhD^a ; ^{nabe-akt@umin.ac.jp} ; Mitsuo Nishimoto ; MD^b ; Naomi Shiga ; MD ; PhD^b ; Hiroki Utsunomiya ; MD ; PhD^b ; Nobuo Yaegashi ; MD ; PhD^b
• 关键词：Adolescent ; Bicornuate uterus ; Hematometra ; Metroplasty ; Mü ; llerian duct anomaly
• 刊名：Journal of Minimally Invasive Gynecology
• 出版年：2013
• 出版时间：March-April, 2013
• 年：2013
• 卷：20
• 期：2
• 页码：255-258
• 全文大小：966 K

文摘

Asymmetric obstructed uterus didelphys (Herlyn-Werner-Wunderlich syndrome), also known as obstructed hemivagina with ipsilateral renal agenesis syndrome, is a rare congenital m¨¹llerian duct anomaly. Herein we present a case report of incomplete Herlyn-Werner-Wunderlich syndrome, with absence of the hemivaginal septum, diagnosed in a 12-year-old girl. Treatment of the severe pain using an analgesic agent was ineffective. Therefore, laparoscopic metroplastic surgery via the modified Strassman procedure was performed. After surgery, the patient no longer reported dysmenorrhea.