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An Unusual Cause of Recurrent Urinary Retention in an Adolescent Female.
Cureus. 2019 Jul 15; 11(7):e5136.C

Abstract

Herlyn-Werner-Wunderlich syndrome (HWWS) is a rare, combined Mullerian and Mesonephric duct anomaly characterized by the triad of uterus didelphys, obstructed hemivagina and ipsilateral renal agenesis. We present the case of an otherwise healthy 16-year-old female with acute urinary retention secondary to HWWS. The diagnosis was established with abdominal ultrasound and Magnetic Resonance Imaging (MRI). The patient subsequently underwent surgical resection of the vaginal septum resulting in relief of obstruction. Clinical symptoms in patients with HWWS typically present after menarche with progressive hematometra causing pain and compression of localized structures. Even though ultrasound can help in the diagnosis, MRI is the best choice of imaging for the visualization of these anomalies. The diagnosis of HWWS is important to consider in young females of reproductive age presenting with symptoms of obstruction of adjacent structures. Our patient presented with acute urinary retention which is a rare symptom in this entity. A high index of clinical suspicion and awareness of the syndrome are required to make a speedy diagnosis and prevent future complications.

Authors+Show Affiliations

Pediatrics, The Brooklyn Hospital Center, New York, USA.Pediatrics, The Brookyln Hospital Center, New York, USA.Pediatrics, St. George's University, Grenada, GRD.Pediatrics, The Brooklyn Hospital Center, New York, USA.Pediatrics, The Brooklyn Hospital Center, New York, USA.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

31523565

Citation

Gajendran, Induja, et al. "An Unusual Cause of Recurrent Urinary Retention in an Adolescent Female." Cureus, vol. 11, no. 7, 2019, pp. e5136.
Gajendran I, Uzamere O, McSurdy K, et al. An Unusual Cause of Recurrent Urinary Retention in an Adolescent Female. Cureus. 2019;11(7):e5136.
Gajendran, I., Uzamere, O., McSurdy, K., Adeyinka, A., & Pierre, L. (2019). An Unusual Cause of Recurrent Urinary Retention in an Adolescent Female. Cureus, 11(7), e5136. https://doi.org/10.7759/cureus.5136
Gajendran I, et al. An Unusual Cause of Recurrent Urinary Retention in an Adolescent Female. Cureus. 2019 Jul 15;11(7):e5136. PubMed PMID: 31523565.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An Unusual Cause of Recurrent Urinary Retention in an Adolescent Female. AU - Gajendran,Induja, AU - Uzamere,Omosede, AU - McSurdy,Kaitlyn, AU - Adeyinka,Adebayo, AU - Pierre,Louisdon, Y1 - 2019/07/15/ PY - 2019/9/17/entrez PY - 2019/9/17/pubmed PY - 2019/9/17/medline KW - abdominal pain KW - adolescent KW - herlyn werner wunderlich syndrome KW - renal agenisis KW - urinary retention KW - uterus didelphys SP - e5136 EP - e5136 JF - Cureus JO - Cureus VL - 11 IS - 7 N2 - Herlyn-Werner-Wunderlich syndrome (HWWS) is a rare, combined Mullerian and Mesonephric duct anomaly characterized by the triad of uterus didelphys, obstructed hemivagina and ipsilateral renal agenesis. We present the case of an otherwise healthy 16-year-old female with acute urinary retention secondary to HWWS. The diagnosis was established with abdominal ultrasound and Magnetic Resonance Imaging (MRI). The patient subsequently underwent surgical resection of the vaginal septum resulting in relief of obstruction. Clinical symptoms in patients with HWWS typically present after menarche with progressive hematometra causing pain and compression of localized structures. Even though ultrasound can help in the diagnosis, MRI is the best choice of imaging for the visualization of these anomalies. The diagnosis of HWWS is important to consider in young females of reproductive age presenting with symptoms of obstruction of adjacent structures. Our patient presented with acute urinary retention which is a rare symptom in this entity. A high index of clinical suspicion and awareness of the syndrome are required to make a speedy diagnosis and prevent future complications. SN - 2168-8184 UR - https://www.unboundmedicine.com/medline/citation/31523565/An_Unusual_Cause_of_Recurrent_Urinary_Retention_in_an_Adolescent_Female L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/31523565/ DB - PRIME DP - Unbound Medicine ER -
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