Pregnancy in Herlyn Werner Wunderlich syndrome: Two case reports

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Karen Therese S Abalos and Sherri Ann L Suplido

University of the Philippines, Philippines

: Androl Gynecol: Curr Res

Abstract

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Herlyn-Werner-Wunderlich (HWW) syndrome is a rare congenital anomaly of the Mullerian duct system presenting with the triad of uterine didelphys, obstructed hemivagina and ipsilateral renal agenesis. The patient typically presents with dysmenorrhea evolving into continuous pelvic pain, and a palpable pelvic mass. Symptoms primarily occur after menarche. The HWW syndrome is commonly linked with obstetrical complications including infertility, abortion, and preterm delivery. To obviate these disastrous complications, it is essential to have a high level of suspicion for prompt recognition and treatment. We are presenting herein two (2) cases of HWW syndrome with contrasting management approaches resulting to different fertility profiles and obstetrical complication. Prompt diagnosis and appropriate treatment of this syndrome can forestall potential complications like pain and infertility. While the first case suffered infertility and preterm labor, the second case had normal fertility and reached full term.

Biography

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Karen Therese S Abalos has completed medical degree in Doctor of Medicine at the University of the Philippines, Philippine General Hospital. She is presently a fourth-year resident physical in training with the Department of Obstetrics and Gynecology at the Philippine General Hospital.

E-mail: e:karentsabalos@gmail.com