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Minimally invasive approach to Herlyn-Werner-Wunderlich syndrome with giant endometriotic cyst: a case report
Abstract
Herlyn-Werner-Wunderlich syndrome is a rare
congenital anomaly of the Mullerian and Wolffian
ductal system, manifesting as a triad of dipelphys
uterus, obstructed hemivagina, and ipsilateral
renal agenesis. Patients usually remain
asymptomatic till menarche and experience
progressive dysmenorrhea, suprapubic lump,
and/or features of infection (pyometra, pelvic
collection, etc.) afterward. We hereby present a
case of a young lady with Herlyn-WernerWunderlich syndrome with a large endometriotic
cyst, likely arising from the right hemiuterus. She
presented with dysmenorrhea and progressive
abdominal distention for seven years. She was
treated by laparoscopic ovarian cyst excision and
right hemihysterectomy that relieved her
symptoms.