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《Journal of pediatric and adolescent gynecology》2020,33(6):748-751
BackgroundObstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome is usually diagnose during adolescence due to pain-related symptoms; however, this syndrome can go unrecognized for several years, and unique presentations may occur later in life.CaseWe describe a 24-year-old-woman diagnosed with previously unknown OHVIRA syndrome and a 7-week intrauterine pregnancy in the obstructed side by the unique ultrasound image obtained during routine first-trimester ultrasonography. The patient was managed with single-stage vaginoplasty, and the rest of the pregnancy were uneventful.Summary and ConclusionThis report is unique in terms of showing that the pregnancy could develop in the uterine cavity on the side of the obstruction despite the blind hemivagina. 相似文献
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《Journal of pediatric and adolescent gynecology》2020,33(3):307-313
Study ObjectiveTo propose a “3O” (obstruction, ureteric orifice, and outcome) subclassification system associated with obstructed hemivagina and ipsilateral renal anomaly (OHVIRA).DesignRetrospective case series.SettingXiangya Hospital, Central South University, Changsha, Hunan, China.ParticipantsA total of 26 women with obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) over a 9-year period.InterventionsNot applicable.Main Outcome MeasuresIn all cases, the obstruction, ureteric orifice, outcome and surgical strategy were reviewed.ResultsIn our study, the “obstruction” category included 14 cases of blind hemivagina, 8 cases of buttonhole septum, 3 cases of cervical fistula, and 1 case of cervical atresia. A total of 25 patients with vaginal obstruction underwent resection of the vaginal septum. The patient with cervical atresia underwent a failed cervicoplasty, followed by hemi-hysterectomy. The “ureteric orifice” category included 24 cases of absent ureter with no orifice, as well as 2 cases of ureteric orifice emptying into the obstructed hemivagina. The 2 patients were treated with laparoscopic extirpation of the ectopic ureter and renal moiety. Regarding the “outcome” category, 5 patients with severe recurrent hematometra, hematosalpinx, and ovarian endometrioma underwent hemi-hysterectomy, salpingectomy, and cystectomy of the ovarian endometrioma. Both patients (1 with a septate uterus and 1 with a bicornuate uterus) who experienced recurrent abortion accepted uterine correction.ConclusionWe provide new insights into the anatomical variants of this rare syndrome with the relevant surgical implications. Magnetic resonance imaging is the most useful tool in 3O diagnosis. 相似文献
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Valerie I. Shavell Samantha E. Montgomery Samuel C. Johnson Michael P. Diamond Jay M. Berman 《Archives of gynecology and obstetrics》2009,280(3):449-452
Background Abnormalities of the female reproductive tract are associated with a multitude of intrapartum complications. In the case that
follows, we report the complicated pregnancy course of a woman diagnosed postpartum with the uncommon syndrome of obstructed
hemivagina and ipsilateral renal anomaly (OHVIRA) associated with a complete septate uterus.
Case A 19-year-old nulliparous woman with a history of a right nephrectomy secondary to multicystic dysplastic kidney disease presented
with premature rupture of membranes at 30 weeks’ gestation. After failed induction of labor at 34 weeks’ gestation, a uterine
anomaly was discovered at the time of cesarean section. Magnetic resonance imaging performed postpartum revealed a complete
septate uterus, longitudinal vaginal septum, and obstructed right hemivagina.
Conclusion The OHVIRA syndrome is classically associated with uterus didelphys, not complete septate uterus as in this woman. This case
illustrates the potential for intrapartum complications in women with abnormalities of the urogenital tract. 相似文献
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《Obstetrics, Gynaecology and Reproductive Medicine》2021,31(9):261-267
Paediatric and adolescent gynaecology is an area of special interest within gynaecology that encompasses a broad spectrum of conditions affecting the health of girls from birth through to adulthood. Management of conditions during pubescent development can be challenging and requires considered multidisciplinary input. An in-depth understanding of anatomy, embryology, and endocrinology are paramount as well as an appreciation for the differences in presentations in childhood, adolescence and adulthood. Furthermore, there can be wide-reaching implications of diagnosis including gender identity issues, reproductive potential and the psychological impact that some conditions can have on patients and their families from a young age. This review contains a summary of seven diverse cases seen in adolescent gynaecology clinic with a discussion of their management. 相似文献
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Aruna Nigam Chitra Raghunandan Reena Yadav Shaili Tomer Rama Anand 《Congenital anomalies》2011,51(3):153-155
Chronic vaginal discharge in adolescent and young females, not responding to antibiotics, can pose a diagnostic dilemma for many gynecologists and general practitioners. Uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis (OHVIRA syndrome) is a rare congenital anomaly. We present a case of a 22‐year‐old unmarried female with this syndrome presenting with chronic purulent vaginal discharge. The uniqueness about the case is its much delayed presentation. 相似文献
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Jessica Y. Shim Frances W. Grimstad Marc R. Laufer 《Journal of pediatric and adolescent gynecology》2021,34(2):220-222
BackgroundObstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome is a rare diagnosis; patients classically present with dysmenorrhea and increasing pelvic pain. Unusual manifestations of OHVIRA syndrome might occur as a result of patient anatomy and the rupture or relief of the obstructed hemivagina.CaseWe present a 15-year-old patient with OHVIRA syndrome who developed a spontaneous cervicovaginal fistula and subsequently underwent hemihysterectomy. 相似文献
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Kristl Tomlin Craig Barnes Kathy Van Leeuwen Amy Williamson 《Journal of pediatric and adolescent gynecology》2018,31(1):67-70