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Title: OHVIRA SYNDROME
e-poster Number: EP 035
Category: Endoscopy and Gynaecologic Surgery
Author Name: Dr. Minarva Hikoka
Institute: S.C.B MCH CUTTACK
Co-Author Name:
Abstract :
Title: OHVIRA SYNDROME Introduction: OHVIRA SYNDROME(Obstructed Hemivagina and Ipsilateral renal anomaly) Also known as HERLYN WERNER WUNDERLICH syndrome is a rare mullerian duct anomaly and ipsilateral renal agenesis. Delay in diagnosis are common due to normal onset of puberty and menstruation.usually present with progressive dysmenorrhea,non specific lower abdominal pain,urinary retention,pelvic mass,hypomenorrhea. Aims &objective: This study aims to present a case of a 26yr female with missed abortion with a swelling of size(6*7)cm in right lateral vaginal wall which came out to be a case of OHVIRA syndrome with uterus didelphys. Materials & methods: A 26yr female with chief complain of amenorrhea for 2 months and 1 episode of bleeding 3 days back .Her usg report showed two uterus in pelvis with two separate endoechoes and cervix. Gsac corresponding to 8weeks present on left side uterine cavity, right side of uterus empty .Hypoechoic collection 6*5 present in upper part of vagina .Homogenous hepatomegaly,absence of right kidney in renal fossa with compensatory hypertrophic left kidney Results: Diagnostic hysterolaparoscopic suction and evacuation with vaginal septum resection with laparoscopic adhesiolysis was done. Post op days were uneventful Conclusion: Obstructed hemivagina requires surgical correction due to pain,increased risk of infection band retrograde menses with risk of endometriosis.