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诊断及妊娠随访一例 Herlyn-Werner-Wünderlich 综合征:病例报告。

Diagnosis and gestational follow-up in a patient with Herlyn-Werner-Wünderlich syndrome, a case report.

机构信息

Department of Obstetrics and Gynecology, Hospital Quirón Málaga, Spain.

Department of Obstetrics and Gynecology, Hospital Quirón Málaga, Spain.

出版信息

Taiwan J Obstet Gynecol. 2019 Jul;58(4):560-565. doi: 10.1016/j.tjog.2019.05.023.

Abstract

OBJECTIVE

Herlyn-Werner-Wünderlich syndrome (HWW) is a rare congenital malformation of the urogenital tract due to a fusion failure in the Müllerian ducts. This anomaly consists of a didelphus uterus with obstructed hemivagina and sometimes associated with ipsilateral renal agenesis. The treatment of choice is surgical, it consists of a simple procedure of resection of the vaginal septum and drainage of the obstructed hemivagina and retained collections.

CASE REPORT

We report the case of a pregnancy in a 37-year-old woman with SHWW without resection of the vaginal septum.

CONCLUSIONS

The early detection is important due to the possible associated complications. Women with uterine defects are subject to an increased risk of complications in pregnancy and childbirth. Therefore, each case must be treated individually.

摘要

目的

赫林-韦纳-旺德利希综合征(HWW)是一种罕见的生殖道先天性畸形,是由于米勒管融合失败引起的。这种异常包括双子宫伴阴道横隔阻塞,有时伴有同侧肾发育不全。治疗方法首选手术,包括阴道隔膜切除术和阻塞性半阴道引流及滞留物清除术。

病例报告

我们报告了一例 37 岁 HWW 患者的妊娠病例,未行阴道隔膜切除术。

结论

早期发现很重要,因为可能存在相关并发症。有子宫缺陷的妇女在妊娠和分娩期间并发症的风险增加。因此,每个病例都必须个体化治疗。

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