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

Laparoscopic Strassman Metroplasty in a Postmenarcheal Adolescent Girl With Herlyn-Werner-Wunderlich Mullerian Anomaly Variant, Obstructed Noncommunicating Didelphic Uterus Without Gartner Duct Pseudocyst
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DOI:
10.1016/j.jmig.2012.10.016
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发表时间:
2013-03-01
影响因子:
4.1
通讯作者:
Yaegashi, Nobuo
Yaegashi, Nobuo
中科院分区:
医学2区
文献类型:
--
作者:
Nabeshima, Hiroshi;Nishimoto, Mitsuo;Yaegashi, Nobuo

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不对称梗阻性双子宫综合征,又称梗阻性半阴道伴同侧肾发育不全综合征,是一种罕见的先天性苗勒管畸形。在此,我们提出一个病例报告不完全Herlyn-Werner-Wunderlich综合征,缺乏半阴道隔,诊断在一个12岁的女孩。使用止痛剂治疗剧烈疼痛无效。因此,通过改良的Strassman手术进行腹腔镜子宫成形术。术后,患者不再报告痛经。微创妇科学杂志(2013)20,255-258(C)2013 AAGL。All rights reserved.
Asymmetric obstructed uterus didelphys (Herlyn-Werner-Wunderlich syndrome), also known as obstructed hemivagina with ipsilateral renal agenesis syndrome, is a rare congenital mullerian 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. Journal of Minimally Invasive Gynecology (2013) 20, 255-258 (C) 2013 AAGL. All rights reserved.