Uterus didelphys with hematometrocolpos

Discussion:

Uterus didelphys is class III congenital utero-vaginal anomalies as the abnormalities in lateral fusion of the mullerian ducts. The patient also had imperforate hymen on the right side with normal hymen on the left which makes menstruation occurs from the left side and blood accumulate on the right side forming hematometrocolpos.

The presence of uterus didelphys with obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) triad is known as Herlyn-Werner-Wunderlich syndrome.

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