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Case Reports
. 2023 Jun:107:108368.
doi: 10.1016/j.ijscr.2023.108368. Epub 2023 May 30.

Obstructed hemivagina and ipsilateral renal agenesis (OHVIRA) syndrome: A case report

Ryosuke Arakaki  1 , Kanako Yoshida  2 , Junki Imaizumi  3 , Takashi Kaji  1 , Takeshi Kato  1 , Takeshi Iwasa  1
Affiliations
Case Reports

Obstructed hemivagina and ipsilateral renal agenesis (OHVIRA) syndrome: A case report

Ryosuke Arakaki et al. Int J Surg Case Rep. 2023 Jun.

Abstract

Introduction: Obstructed hemivagina and ipsilateral renal agenesis (OHVIRA) is a rare urogenital malformation. The clinical symptoms of OHVIRA include uterine morphology abnormality, persistent vaginal discharge, and renal anomaly or agenesis. Delayed diagnosis can lead to complications, such as pelvic inflammatory disease, adhesion to the oviduct, and endometriosis.

Presentation of case: We report the case of a 12-year-old girl who presented with severe dysmenorrhea and abnormal vaginal discharge. The patient was diagnosed with OHVIRA based on magnetic resonance imaging findings. The patient underwent combined transvaginal and laparoscopic surgery for drainage of hematocolpos and adhesiolysis of the pelvic cavity. The patient had an uncomplicated recovery and normal menstrual cycle after surgery.

Discussion: OHVIRA is a rare syndrome, of which delayed diagnosis may result in the development of endometriosis.

Conclusion: We report that a combined laparoscopic and transvaginal approach was useful for treating OHVIRA with oviductal hematoma.

Keywords: Congenital abnormalities; Gonadal dysgenesis; Laparoscopy; Solitary kidney; Urogenital abnormalities.

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Conflict of interest statement

Declaration of competing interest None declared.

Figures

Fig. 1
Fig. 1
Transabdominal ultrasonography (Ta-USG): Ta-USG shows blood retention in the uterus (indicated with arrows).
Fig. 2
Fig. 2
A) T2 MRI sagittal view: Oviductal hematoma is found on the ventral side of the uterus shows the left oviductal hematoma (indicated with arrows). B) T2 MRI in axial view: The two-uterine cavities and mass filled with fluid suggestive of blood retention on the left side resulting in the formation of the left oviductal hematoma. MRI, Magnetic resonance imaging.
Fig. 3
Fig. 3
Abdominal CT (coronal section): CT shows a defect in the left kidney, and the right kidney is mildly enlarged. CT, computed tomography.
Fig. 4
Fig. 4
Laparoscopic image: Two hemiuteruses (indicated by red arrows) and the left oviductal hematoma (indicated by blue arrows) is observed. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.)
See this image and copyright information in PMC

References

    1. Acién P., Acién M. The presentation and management of complex female genital malformations. Hum. Reprod. Update. 2016;22:48–69. doi: 10.1093/humupd/dmv048. - DOI - PubMed
    1. Acién P., Acién M.I. The history of female genital tract malformation classifications and proposal of an updated system. Hum. Reprod. Update. 2011;17:693–705. doi: 10.1093/humupd/dmr021. - DOI - PubMed
    1. Rock J.A., Jones H.W., Jr. The double uterus associated with an obstructed hemivagina and ipsilateral renal agenesis. Am. J. Obstet. Gynecol. 1980;138:339–342. doi: 10.1016/0002-9378(80)90260-4. - DOI - PubMed
    1. Agha R.A., Franchi T., Sohrabi C., Mathew G., SCARE Group The SCARE 2020 guideline: updating consensus surgical CAse REport (SCARE) guidelines. Int. J. Surg. 2020;84:226–230. doi: 10.1016/j.ijsu.2020.10.034. - DOI - PubMed
    1. Grimbizis G.F., Gordts S., Di Spiezio Sardo A., Brucker S., De Angelis C., Gergolet M., Li T.C., Tanos V., Brölmann H., Gianaroli L., Campo R. The ESHRE-ESGE consensus on the classification of female genital tract congenital anomalies. Hum. Reprod. 2013;28:2032–2044. doi: 10.1093/humrep/det098. - DOI - PMC - PubMed

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