Ectopic urethral opening in herlyn-werner-wunderlich syndrome: A rare finding.

Radiol Case Rep

Department of Radiology, Mayo Hospital, King Edward Medical College, Neela Gumbad Chowk, Lahore, Punjab, Pakistan.

Published: December 2024

AI Article Synopsis

  • Herlyn-Werner-Wunderlich Syndrome (HWWS) is a rare condition, and this case is the first to show an unusual problem with the urethra, which is the tube that carries urine out of the body.
  • A 27-year-old woman had issues like blood in her urine, pain while peeing, and trouble urinating, which led doctors to do an MRI.
  • The MRI revealed she had a special type of uterus with two parts and two cervixes, which explains her problems and suggests that the unusual urethra might be causing her discomfort.

Article Abstract

Recorded findings of Herlyn-Werner-Wunderlich Syndrome (HWWS) remain sparse due to low statistical incidence. Ours is also the first known case to present with an ectopic urethral opening, an even rarer complication. A 27-year-old nulliparous woman presented with complaints of cyclical hematuria, and burning micturition with intermittent episodes of urinary retention suprapubic and pelvic pain. After extensive radiological examination, the MRI findings concluded the presence of a uterine didelphys with 2 cervixes and vaginal duplication marked by the compression of the left hemivagina and dilation of the right hemivagina, pointing towards HWWS. The case strongly suggests that the presence of an ectopic urethral opening may be the cause of urinary incontinence and discomfort in an otherwise asymptomatic patient of HWWS.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11462045PMC
http://dx.doi.org/10.1016/j.radcr.2024.08.056DOI Listing

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