HYSTEROSCOPIC RESECTION OF VAGINAL SEPTUM IN AN ADOLESCENT WITH HERLYN-WERNER-WUNDERLICH SYNDROME

Abstract

Herlyn-Werner-Wunderlich syndrome (HWW) is a rare congenital malformation of the Müllerian duct system, characterized by uterus didelphys, unilateral obstruction of the vaginal canal, and ipsilateral renal agenesis or urinary system anomaly. This condition typically manifests during adolescence, mainly with cyclic pelvic pain, pelvic mass, and dysmenorrhea secondary to vaginal obstruction. Timely diagnosis using imaging methods such as magnetic resonance imaging and ultrasonography is essential to prevent complications including infections, endometriosis, or renal damage. In this context, hysteroscopic resection of the obstructive vaginal septum is a minimally invasive therapeutic option that aims to restore anatomy, relieve symptoms, and preserve future reproductive function. We report the case of an adolescent diagnosed with Herlyn-Werner-Wunderlich syndrome who was successfully treated through hysteroscopic resection of the vaginal septum.