Síndrome de Herlyn-Werner-Wunderlich: reporte de caso y revisión de la literatura

Palabras clave: riñón único, vagina, anomalías urogenitales, conductos paramesonéfricos

Resumen

Objetivo: presentar un reporte de caso de síndrome de Herlyn Werner Wunderlich (SHWW) y hacer una revisión de la literatura para determinar los hallazgos clínicos e imagenológicos en estas pacientes.

Materiales y métodos: se presenta el caso de una mujer de 16 años que consultó, en un hospital de las fuerzas militares en Bogotá, por dolor pélvico recurrente, su diagnostico final fue SHWW. Se realizó una búsqueda sistemática de la literatura en las diferentes bases de datos, revisiones sistemáticas, cohortes, series de casos y reportes de casos en pacientes con diagnóstico de SHWW en cualquier edad, se obtuvo información sobre las características de presentación clínica, y las tecnologías diagnósticas más frecuentemente utilizadas. Se hace resumen narrativo de los hallazgos.

Resultados: se incluyeron 77 publicaciones, un total de 676 pacientes. Los síntomas más frecuentes fueron dismenorrea (63,9 %), seguido de dolor pélvico (35,2%). Las tecnologías diagnósticas más utilizadas fueron el ultrasonido pélvico en un 92,1% y la resonancia magnética nuclear en un 74,6% de los casos. La histeroscopia y laparoscopia son poco utilizados en el diagnóstico.

Conclusión: el SHWW es una entidad poco frecuente, debe hacer parte del estudio complementario de la agenesia renal del paciente pediátrico y del diagnóstico diferencial de la dismenorrea primaria en pacientes en la adolescencia. Se requiere evaluar con estudios de cohorte más grandes la utilidad de la histeroscopia en estas pacientes.

Descargas

La descarga de datos todavía no está disponible.

Referencias bibliográficas

Nahum GG. Uterine anomalies. How common are they, and what is their distribution among subtypes? J Reprod Med. 1998;43(10):877-87

Siu A, Vargas V, Murcia FJ, Escassi A, Garrido JI, Antón M, et al. Síndrome de OHVIRA: características clínicas y complicaciones, nuestra experiencia. Cir Pediatr. 2019;32(1):11-16.

Haddad B, Barranger E, Paniel BJ. Blind hemivagina: long-term follow-up and reproductive performance in 42 cases. Hum Reprod. 1999;14(8):1962-4. doi: 10.1093/humrep/14.8.1962.

Fedele L, Motta F, Frontino G, Restelli E, Bianchi S. Double uterus with obstructed hemivagina and ipsilateral renal agenesis: pelvic anatomic variants in 87 cases. Hum Reprod. 2013;28(6):1580-3. https://doi.org/10.1093/humrep/det081

Purslow C. A case of unilateral hematocolpos, hematometra and hematosalpinx. J Obstet Gynaecol Br Emp 1922;29(1): 643. https://doi.org/10.1111/j.1471-0528.1922.tb16100.x

Herlyn U, Werner H. Simultaneous occurrence of an open Gartner-duct cyst, a homolateral aplasia of the kidney and a double uterus as a typical syndrome of abnormalities. Geburtshilfe Frauenheilkunde 1971; 31(1):340-347

Wunderlich M. Unusual form of genital malformation with aplasia of the right kidney. Zentralbl Gynakol 1976; 988(1):559-562

Dietrich JE, Millar DM, Quint EH. Obstructive reproductive tract anomalies. J Pediatr Adolesc Gynecol. 2014;27(6):396-402. https://doi.org/10.1016/j.jpag.2014.09.001

Acién P. Embryological observations on the female genital tract. Hum Reprod. 1992;7(4):437-45. https://doi.org/10.1093/oxfordjournals.humrep.a137666

Zhang J, Xu S, Yang L, Songhong Y. MRI image features and differential diagnoses of Herlyn–Werner–Wunderlich syndrome, Gynecological Endocrinology.2019;40(9):1893-1900. https://doi.org/10.1080/09513590.2019.1680623

Zhu L, Chen N, Tong J-L, Wang W, Zhang L, Lang J-H. New Classification of Herlyn-Werner-Wunderlich Syndrome. Chinese Medical Journal. 2015; 128 (2): 222–225. https://doi.org/10.4103/0366-6999.149208

Cándenas LB, Davó DA, Peña M, Orlando JM, Díaz ACL. Diagnosis and gestational follow-up in a patient with Herlyn-Werner-Wünderlich syndrome, a case report.Taiwanese Journal of Obstetrics and Gynecology. 2019; 58(4): 560–565. https://doi.org/10.1016/j.tjog.2019.05.023

Zhang H, Ning G, Fu C, Bao L, Guo Y. Herlyn-Werner-Wunderlich syndrome: diverse presentations and diagnosis on MRI. Clin Radiol. 2020;75(6):480-487. https://doi.org/10.1016/j.crad.2020.01.016

Wang J, Zhu L, Lang J, Liu Z, Sun D, Leng J, et al. Clinical characteristics and treatment of Herlyn-Werner-Wunderlich syndrome. Arch Gynecol Obstet. 2014;290(5):947–50. https://doi.org/10.1007/s00404-014-3286-5

Tong J, Zhu L, Lang J. Clinical characteristics of 70 patients with Herlyn-Werner-Wunderlich syndrome. Int J Gynaecol Obstet. 2013;121(2):173–5. https://doi.org/10.1016/j.ijgo.2012.11.023

Yavuz A, Bora A, Kurdoğlu M, Goya C, Kurdoğlu Z, Beyazal M, et al. Herlyn-Werner-Wunderlich syndrome: merits of sonographic and magnetic resonance imaging for accurate diagnosis and patient management in 13 cases. J Pediatr Adolesc Gynecol. 2015;28(1):47–52. https://doi.org/10.1016/j.jpag.2014.03.004

Mohd I, Khan I, Cimona L. Herlyn-Werner-Wunderlich syndrome – a rare genitourinary anomaly in females: a series of four cases. Pol J Radiol 2018; 83(1):306-310. https://doi.org/10.5114/pjr.2018.77026

Gungor F, Dural O, Yasa C, Kirpinar G, Akhan S. Diagnosis, management, and outcome of obstructed hemivagina and ipsilateral renal agenesis (OHVIRA syndrome): Is there a correlation between MRI findings and outcome?. Clinical Imaging. 2020;59(2) 172–178. https://doi.org/10.1016/j.clinimag.2019.11.013

Kapczuk K, Iwaniec K, Kędzia W. Obstructive Mullerian Anomalies in Menstruating Adolescent Girls: A Report of 22 Cases. J Pediatr Adolesc Gynecol. 2018; 31(3): 252-257. https://doi.org/10.1016/j.jpag.2017.09.013

Fascilla FD, Olivieri C, Cannone R, De Palma D, Manosperta F, Costantino AS, et al. In-office Hysteroscopic Treatment of Herlyn-Werner-Wunderlich Syndrome: A Case Series. J Minim Invasive Gynecol. 2020;27(7):1640–5. https://doi.org/10.1016/j.jmig.2020.04.013

Gholoum S, Puligandla PS, Hui T, Su W, Quiros E, Laberge J-M. Management and outcome of patients with combined vaginal septum, bifid uterus, and ipsilateral renal agenesis (Herlyn-Werner-Wunderlich syndrome). J Pediatr Surg. 2006;41(5):987–92. https://doi.org/10.1016/j.jpedsurg.2006.01.021

Mallmann MR, Reutter H, Mack-Detlefsen B, Gottschalk I, Geipel A, Berg C, et al. Prenatal Diagnosis of Hydro(metro)colpos: A Series of 20 Cases. Fetal Diagn Ther. 2019;45(1):62–8. https://doi.org/10.1159/000486781

Oestreich AE. Herlyn-Werner-Wunderlich syndrome: uterus didelphys, blind hemivagina and ipsilateral renal agenesis. Sonographic and MR findings in 11 cases. Yearbook of Diagnostic Radiology. 2008; 37(7) :130–1. https://doi.org/10.1016/S0098-1672(08)79140-9

Liu M, Zhang L, Xia Y, Huang X, Ye T, Zhang Y, et al. New Consideration of Herlyn-Werner-Wunderlich Syndrome Diagnosed by Ultrasound. J Ultrasound Med. 2021;40(9):1893-1900. https://doi.org/10.1002/jum.15572

Tong J, Zhu L, Chen N, Lang J. Endometriosis in association with Herlyn-Werner-Wunderlich syndrome. Fertil Steril. 2014;102(3):790–4. https://doi.org/10.1016/j.fertnstert.2014.05.025

Tuna T, Estevao-Costa J, Ramalho C, Fragoso AC. Herlyn-Werner-Wunderlich Syndrome: Report of a Prenatally Recognised Case and Review of the Literature, Pediatric Case Reports, Urology. 2018;125(2): 205−209. https://doi.org/10.1016/j.urology.2018.12.022

Nishu DS, Uddin MM, Akter K. Herlyn-Werner-Wunderlich syndrome presenting with dysmenorrhea: a case report Journal of Medical Case Reports. 2019; 13(2):323-326 https://doi.org/10.1186/s13256-019-2258-6

Fachin CG, Rocha JL, Maltoni AA, Lima RL, Zendim VA, Agulham MA, et al. Herlyn-Werner-Wunderlich syndrome: diagnosis and treatment of an atypical case and review of literature, International Journal of Surgery Case Reports. 2019; 63(1):129-134. https://doi.org/10.1016/j.ijscr.2019.08.035

Mittal R.Herlyn-Werner-Wunderlich Syndrome, The Journal of Obstetrics and Gynecology of India. 2015; 66(2):128-130. https://doi.org/10.1007/s13224-015-0707-8

Salastekar N, Coelho M, Majmudar A, Gupta S.Herlyn-Werner-Wunderlich syndrome: A rare cause of abdominal pain and dyspareunia. Radiology Case Reports. 2019; 14(1): 1297–1300. https://doi.org/10.1016/j.radcr.2019.08.003

Jung E, Cho M, Kim D, Byun J, Kim Y, Jeon D et al. Herlyn–Werner–Wunderlich syndrome An unusual presentation with pyocolpos. Obstet Gynecol Sci. 2017;60(4):374-377. https://doi.org/10.5468/ogs.2017.60.4.374

Gupta N, Gandhi D, Gupta S, Goyal P, Li S, Kumar Y. A Variant of Herlyn-Werner-Wunderlich Syndrome Presenting With Acute Abdomen: A Case Report and Review of Literature. Global Pediatric Health. 2018 20 (5): 1–5. https://doi.org/10.1177/2333794X18769817

Jia G, Chai W, Cui M, Wen Y, Cui L, Gong F. A case report on Herlyn–Werner–Wunderlich syndrome with spontaneous abortion. Clinical Case Report. Medicine. 2018;97(36):1-4. https://doi.org/10.1097/MD.0000000000012004

Cappello S, Piccolo, E., Cucinelli, F. Successful preterm pregnancy in a rare variation of Herlyn-Werner-Wunderlich syndrome: a case report BMC Pregnancy and Childbirth. 2018;18(1):498-502. https://doi.org/10.1186/s12884-018-2133-2

Reis M, Vicente A, Cominho J, Gomes A, Martins L, Nunes F. Pyometra and Pregnancy with Herlyn-Werner-Wunderlich Syndrome. Rev. Bras. Ginecol. Obstet.2016;38(12):623-628. http://dx.doi.org/10.1055/s-0036-1594304.

Miyazaki Y, Orisaka M, Nishino C, Onuma T, Kurokawa T, Yoshida Y. Herlyn-Werner-Wunderlich syndrome with cervical atresia complicated by ovarian endometrioma: A case report. J. Obstet. Gynaecol. Res. 2019;46(2):1-5. https://doi.org/10.1111/jog.14175

Angotti R, Molinaro F, Bulotta AL, Bindi E, Cerchia E, Sica M, et al. Herlyn–Werner–Wunderlich syndrome: An “early” onset case report and review of Literature International Journal of Surgery Case Reports. 2015; 11(2): 59–63. https://doi.org/10.1016/j.ijscr.2015.04.027

Vázquez JA, Sanz E, Vigil S, Aguado A. Síndrome de Herlyn-Werner-Wünderlich de diagnóstico neonatal. An Pediatr.2020; 94(4):263-264. https://doi.org/10.1016/j.anpedi.2020.06.005

Rastogi A, Khamesra A.Herlyn- Werner- Wunderlich Syndrome: A Rare Urogenital. Anomaly Masquerading as Acute Abdomen. Indian Journal of Pediatrics. 2010; 77(8):917. https://doi.org/10.1007/s12098-010-0148-4

Tangshewinsirikul C, Dulyaphat W, Diawtipsukon S, Tingthanatikul Y, Satirapod C, Wattanasirichaigoon D. Successful pregnancy outcome in Herlyn-Werner-Wunderlich syndrome with pyocolpos: A case report and literature review. Clinical case reports. 2020; 8(11): 2217–2222. https://doi.org/10.1002/ccr3.3080

Gungor F, Bastu E, Gulsen G, Kurek M, Engin S. OHVIRA syndrome presenting with acute abdomen: a case report and review of the literature. Clinical Imaging. 2014; 38(2): 357–359. https://doi.org/10.1016/j.clinimag.2013.12.011

Yakıştıran B, Şükür YE, Turgay B, Atabekoğlu C. True management of Obstructed Hemi-vagina and Ipsilateral Renal Anomaly syndrome. Turk J Obstet Gynecol 2016;13(4):208-11. https://doi.org/10.4274/tjod.23434

Takagi K, Matsunami K, Imai A. Uterovaginal duplication with blind hemivagina and ipsilateral renal agenesis: Review of unusual presentation. Journal of Obstetrics and Gynaecology, May 2010; 30(4): 350–353. https://doi.org/10.3109/01443611003763416

Sen KK, Balasubramaniam D, Kanagaraj V. Magnetic resonance imaging in obstructive müllerian anomalies. Journal of Human Reproductive Sciences. 2013; 6(2):162-164. https://doi.org/10.4103/0974-1208.117167

Mandava A, Prabhakar, R, Smitha S. OHVIRA Syndrome (obstructed hemivagina and ipsilateral renal anomaly) with Uterus Didelphys, an Unusual Presentation J Pediatr Adolesc Gynecol. 2012; 25 (2):23-25. https://doi.org/10.1016/j.jpag.2011.11.004

Bajaj SK, Misra R, Thukral BB, Gupta R. OHVIRA: Uterus didelphys, blind hemivagina and ipsilateral renal agenesis: Advantage MRI. Journal of Human Reproductive Sciences. 2012; 5(1):67-70. https://doi.org/10.4103/0974-1208.97811

Jindal G., Kachhawa, S., Meena, G., & Dhakar, G.Uterus didelphys with unilateral obstructed hemivagina with hematometrocolpos and hematosalpinx with ipsilateral renal agenesis.J Hum Reprod Sci. 2009; 2(2):87-89. https://doi.org/10.4103/0974-1208.57230

Vivier PH, Liard A, Beurdeley M. Uterus didelphys, hemihydrocolpos and empty ipsilateral lumbar fossa in a newborn girl: involuted dysplastic kidney rather than renal agenesis. Pediatr Radiol. 2011;41(1):1205–1207. https://doi.org/10.1007/s00247-011-2046-y

Mishra N, Ng S.Sonographic diagnosis of Obstructed Hemivagina and Ipsilateral Renal Anomaly Syndrome: a report of two cases. AJUM November 2014;17(4):153-158. https://doi.org/10.1002/j.2205-0140.2014.tb00238.x

Wu T-H, Wu T-T, Ng Y-Y, Ng S-C, Su P-H, Chen J-Y, et al. Herlyn-Werner-Wunderlich Syndrome Consisting of Uterine Didelphys, Obstructed Hemivagina and Ipsilateral Renal Agenesis in a Newborn. 2012; 53 (2): 68–71. https://doi.org/10.1016/j.pedneo.2011.11.014

Cozzolino M, Corioni S, Magro Malosso ER, Sorbi F, Mecacci F. Two successful pregnancies in Herlyn-Werner-Wunderlich syndrome. J Obstet Gynaecol. 2014;34(6):534–5. https://doi.org/10.3109/01443615.2014.914898

Sanghvi Y, Shastri P, Mane SB, Dhende NP. Prepubertal presentation of Herlyn-Werner-Wunderlich syndrome: a case report. J Pediatr Surg. 2011;46(6):1277–80. https://doi.org/10.1016/j.jpedsurg.2011.02.067

Pereira N, Anderson SH, Verrecchio ES, Brown M, Glassner MJ. Hemivaginal Septum Resection in a Patient With a Rare Variant of Herlyn-Werner-Wunderlich Syndrome. Journal of Minimally Invasive Gynecology. 2014; 21(1): 1113–7. https://doi.org/10.1016/j.jmig.2014.05.001

Han BH, Park SB, Lee YJ, Lee KS, Lee YK. Uterus didelphys with blind hemivagina and ipsilateral renal agenesis (Herlyn-Werner-Wunderlich syndrome) suspected on the presence of hydrocolpos on prenatal sonography. J Clin Ultrasound. 2013;41(6):380–2. https://doi.org/10.1002/jcu.21950

Wozniakowska E, Torres A, Milart P, Wozniak S, Czuczwar P, Szkodziak P, et al. Delayed diagnosis of Herlyn-Werner-Wunderlich syndrome due to microperforation and pyocolpos in obstructed vaginal canal. J Pediatr Adolesc Gynecol. 2014;27(4):79–81. https://doi.org/10.1016/j.jpag.2013.07.009

Dorais J, Milroy C, Hammoud A, Chaudhari A, Gurtcheff S, Peterson CM. Conservative treatment of a Herlyn-Werner-Wunderlich müllerian anomaly variant, noncommunicating hemiuterus with Gartner duct pseudocyst. J Minim Invasive Gynecol. 2011;18(2):262–6. https://doi.org/10.1016/j.jmig.2010.12.006

Watanabe Y, Etoh T, Nakai H. Adenocarcinoma of the lower female genital tract in patients with Herlyn-Werner-Wunderlich syndrome. Am J Obstet Gynecol. 2012;207(6):5–6. https://doi.org/10.1016/j.ajog.2012.09.009

Liang H-I, Fu S-C, Yin C-H, Chang C-C. Herlyn-Werner-Wünderlich syndrome: An unusual case with presentation of menorrhagia. Taiwan J Obstet Gynecol. 2020;59(6):948–51. https://doi.org/10.1016/j.tjog.2020.09.026

Nabeshima H, Nishimoto M, Shiga N, Utsunomiya H, Yaegashi N. Laparoscopic Strassman Metroplasty in a Postmenarcheal Adolescent Girl With Herlyn-Werner-Wunderlich Müllerian Anomaly Variant, Obstructed Noncommunicating Didelphic Uterus Without Gartner Duct Pseudocyst. Journal of Minimally Invasive Gynecology. 2013; 20 (1): 255–8. https://doi.org/10.1016/j.jmig.2012.10.016

Asha B, Manila K. An unusual presentation of uterus didelphys with obstructed hemivagina with ipsilateral renal agenesis. Fertil Steril. 2008;90(3):849-851. https://doi.org/10.1016/j.fertnstert.2007.08.003

Roth M, Mingin G, Dharamsi N, Psooy K, Koyle M. Endoscopic ablation of longitudinal vaginal septa in prepubertal girls: a minimally invasive alternative to open resection. J Pediatr Urol. 2010 Oct;6(5):464–8. https://doi.org/10.1016/j.jpurol.2009.12.009

Rana R, Pasrija S, Puri M. Herlyn-Werner-Wunderlich syndrome with pregnancy: a rare presentation. Congenit Anom . 2008;48(3):142–3. https://doi.org/10.1111/j.1741-4520.2008.00195.x

Kumar S, Rajagopal KV, Karegowda LH, Chaitanya RK. Herlyn-Werner-Wunderlich syndrome: a rare cause of acute urinary retention in an adolescent girl.Case Reports. 2015;20(9):63-68. https://doi.org/10.1136/bcr-2015-209638

Güdücü N, Gönenç G, Işçi H, Yiğiter AB, Dünder I. Herlyn-Werner-Wunderlich syndrome--timely diagnosis is important to preserve fertility. J Pediatr Adolesc Gynecol. 2012;25(5):e111–2. https://doi.org/10.1016/j.jpag.2012.05.013

Sarac A, Demir MK. Herlyn-Werner-Wunderlich syndrome: a rare cause of infertility (2009: 2b). Eur Radiol. 2009;19(5):1306–8. https://doi.org/10.1007/s00330-008-1085-8

Noviello C, Romano M, Nino F, Martino A, Cobellis G. Clinical and radiological findings for early diagnosis of Herlyn–Werner–Wunderlich syndrome in pediatric age: experience of a single center. Gynecological Endocrinology. 2018; 34 (2): 56–8. https://doi.org/10.1080/09513590.2017.1332178

Yung SF, Ngu S-F, Cheung VT. Late presentation of a variant of Herlyn-Werner-Wunderlich syndrome. Int J Gynaecol Obstet. 2016;133(2):238–9. https://doi.org/10.1016/j.ijgo.2015.10.006

Aveiro AC, Miranda V, Cabral AJ, Nunes S, Paulo F, Freitas C. Herlyn-Werner-Wunderlich syndrome: a rare cause of pelvic pain in adolescent girls. BMJ Case Rep.2011(4):42-47. https://doi.org/10.1136/bcr.04.2011.4147

Beer WM, Carstairs SD. Herlyn Werner Wunderlich syndrome: an unusual presentation of acute vaginal pain. J Emerg Med. 2013;45(4):541–3. https://doi.org/10.1016/j.jemermed.2013.03.035

Schutt AK, Barrett MR, Trotta BM, Stovall DW. Perioperative evaluation in Herlyn-Werner-Wunderlich syndrome. Obstet Gynecol. 2012;120(4):948–51. https://doi.org/10.1097/AOG.0b013e318265e35a

Del Vescovo R, Battisti S, Di Paola V, Piccolo CL, Cazzato RL, Sansoni I, et al. Herlyn-Werner-Wunderlich syndrome: MRI findings, radiological guide (two cases and literature review), and differential diagnosis. BMC Med Imaging. 2012 9;12:4. https://doi.org/10.1186/1471-2342-12-4

Cox D, Ching BH. Herlyn-Werner-Wunderlich syndrome: a rare presentation with pyocolpos. J Radiol Case Rep. 2012;6(3):9–15. https://doi.org/10.3941/jrcr.v6i3.877

Dogan A, Uyar I, Demirtas GS, Ekin A, Gulhan I, Ertas IE, et al. Urinary Incontinence in Puberty: A Rare Clinical Presentation of the Herlyn-Werner-Wunderlich Syndrome. J Pediatr Adolesc Gynecol. 2016;29(6):e101–3. https://doi.org/10.1016/j.jpag.2016.07.013

Karaca L, Pirimoglu B, Bayraktutan U, Ogul H, Oral A, Kantarci M. Herlyn-Werner-Wunderlich Syndrome: A Very Rare Urogenital Anomaly in a Teenage Girl.The Journal of Emergency Medicine. 2015;48 (2):73–5. https://doi.org/10.1016/j.jemermed.2014.09.064

Moshiri M, Seyal AR, Cruite I, Bhargava P. Herlyn-Werner-Wunderlich syndrome with a partially obstructed hemivagina. Radiol Case Rep. 2012;7(4):800. https://doi.org/10.2484/rcr.v7i4.800

Khaladkar SM, Kamal V, Kamal A, Kondapavuluri SK. The Herlyn-Werner-Wunderlich Syndrome – A Case Report with Radiological Review.Polish Journal of Radiology. 2016; 81(1): 395–400. https://doi.org/10.12659/PJR.897228

Kozłowski M, Nowak K, Boboryko D, Kwiatkowski S, Cymbaluk-Płoska A. Herlyn-Werner-Wunderlich Syndrome: Comparison of Two Cases. Int J Environ Res Public Health. 2020;17(19). https://doi.org/10.3390/ijerph17197173

Ellspermann R, Sirhari C, Chapin E, Nelson M. Point-of-care Ultrasound Aiding in the Diagnosis of Herlyn-Werner-Wunderlich Syndrome. Clinical Practice and Cases in Emergency Medicine. 2017; 1(2): 370–3. https://doi.org/10.5811/cpcem.2017.7.34089

Hamidi H, Haidary N. Late presentation, MR imaging features and surgical treatment of Herlyn-Werner-Wunderlich syndrome (classification 2.2); a case report. BMC Women’s Health. 2018; 18 (1):161-165. https://doi.org/10.1186/s12905-018-0655-4

Meneses AD, Filho WM, Raulino DM, Martins EB, Vieira SC. Herlyn-Werner-Wunderlich Syndrome with Ureteric Remnant Abscess Managed Laparoscopically: A Case Report. Oman Med J. 2017 Mar;32(2):157–60. https://doi.org/10.5001/omj.2017.28

Widyakusuma LS, Lisnawati Y, Pudyastuti S, Haloho AH. A rare case of pelvic pain caused by Herlyn-Werner-Wunderlich Syndrome in an adult: A case report. International Journal of Surgery Case Reports. 2018; 49 (2): 106–9. https://doi.org/10.1016/j.ijscr.2018.06.022

Tan YG, Laksmi NK, Yap T-L, Sadhana N, Ong CC. Preventing the O in OHVIRA (Obstructed Hemivagina Ipsilateral Renal Agenesis): Early Diagnosis and Management of Asymptomatic Herlyn–Werner–Wunderlich Syndrome. Journal of Pediatric Surgery. 2020; 55(2):1377–80. https://doi.org/10.1016/j.jpedsurg.2019.06.006

Publicado
2021-12-30
Cómo citar
1.
Gutiérrez-Montufar OO, Zambrano-Moncayo CP, Otálora-Gallego MC, Meneses-Parra AL, Díaz-Yamal I. Síndrome de Herlyn-Werner-Wunderlich: reporte de caso y revisión de la literatura. Rev. Colomb. Obstet. Ginecol. [Internet]. 30 de diciembre de 2021 [citado 27 de enero de 2022];72(4). Disponible en: https://revista.fecolsog.org/index.php/rcog/article/view/3699
Sección
Reporte de Caso
Crossref Cited-by logo

Más sobre este tema