Alur Snigdha, Nicandri Katrina, Bhagavath Bala
From the Department of Obstetrics and Gynecology, Strong Memorial Hospital, University of Rochester, Rochester, NY.
Female Pelvic Med Reconstr Surg. 2015 May-Jun;21(3):e23-6. doi: 10.1097/SPV.0000000000000140.
Vaginal septa and associated mullerian anomalies can be difficult to diagnose and manage. This case series intends to educate the readers about the benefits and limitations of radiologic techniques both for the investigation as well as for the surgical management of these cases. It also seeks to inform them about a unique combination of vaginal and uterine anomalies known as Herlyn-Werner-Wunderlich syndrome.
Three cases were discussed, each with a different presentation. All of the cases included obstructed right hemivagina and right renal agenesis. One case was associated with uterine septum and the other 2 cases were associated with uterus didelphys.
The correct diagnosis of associated uterine anomalies in patients presenting with vaginal septa can be challenging. Diagnosis solely based on imaging should be cautioned because of its limitations. Use of ultrasound in the operating room can be a valuable tool.
阴道隔及相关苗勒管异常可能难以诊断和处理。本病例系列旨在让读者了解放射学技术在这些病例的检查及手术处理方面的益处和局限性。它还旨在告知读者一种被称为赫林 - 韦纳 - 温德利希综合征的阴道和子宫异常的独特组合。
讨论了三例病例，每例表现不同。所有病例均包括右侧阴道半段梗阻和右肾缺如。一例与子宫纵隔相关，另外两例与双子宫相关。
对于出现阴道隔的患者，正确诊断相关子宫异常可能具有挑战性。由于其局限性，应谨慎仅基于影像学进行诊断。在手术室使用超声可能是一种有价值的工具。
