Preprint Interesting Images Version 1 Preserved in Portico This version is not peer-reviewed

OHVIRA Syndrome in Adulthood: A Diagnostic Challenge

Version 1 : Received: 2 August 2023 / Approved: 3 August 2023 / Online: 4 August 2023 (12:33:22 CEST)

A peer-reviewed article of this Preprint also exists.

Grammatis, A.L.; Ajibade, F.; Warakaulle, D.; Dada, T. Obstructed Hemi-Vagina with Ipsilateral Renal Agenesis Syndrome in Adulthood: A Diagnostic Challenge. Diagnostics 2023, 13, 3377. Grammatis, A.L.; Ajibade, F.; Warakaulle, D.; Dada, T. Obstructed Hemi-Vagina with Ipsilateral Renal Agenesis Syndrome in Adulthood: A Diagnostic Challenge. Diagnostics 2023, 13, 3377.

Abstract

A patient in her early 20s presented with constant and progressive lower abdominal and back pain, mainly on the right side of the abdomen, purulent vaginal discharge and pyrexia. Radio-logical assessment revealed a possible tuboovarian abscess and incidental diagnosis of ipsilateral renal agenesis. The patient was treated for pelvic inflammatory disease (PID), however after antibiotic administration and since the symptoms were not resolving, an abdominal MRI was requested which revealed a uterus didelphys with two cervices, an obstructed haemivagina and evidence of haematocolpos. The diagnosis of OHVIRA syndrome was confirmed and the patient underwent an excision of the vaginal septum, drainage of the haematopyocolpos and laparoscopic drainage of the tuboovarian abscess. She achieved a good recovery.

Keywords

OHVIRA syndrome 1; differential diagnosis 2; tuboovarian abscess 3; congenital syndrome 4; pelvic inflammatory disease 5

Subject

Medicine and Pharmacology, Obstetrics and Gynaecology

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