# An Incidental Diagnosis of Herlyn-Werner-Wunderlich Syndrome in a Young Female: A Case Report of a Rare Entity

## TL;DR

A 20-year-old woman was incidentally diagnosed with Herlyn-Werner-Wunderlich syndrome after a road accident revealed uterine and kidney abnormalities.

## Contribution

This case report highlights the incidental diagnosis of a rare urogenital syndrome in a young female following an unrelated accident.

## Key findings

- Uterine didelphys and left renal agenesis were identified via ultrasonography in a 20-year-old female.
- The case emphasizes the importance of considering HWW syndrome when uterine and renal anomalies coexist.

## Abstract

Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome, a rare genetic condition of the urogenital system, is characterized by distinctive features such as ipsilateral renal agenesis, obstructed hemivagina, and uterus didelphys. It is also referred to as Herlyn-Werner-Wunderlich (HWW) syndrome. Its clinical manifestations include dysmenorrhea, consistent abdominal pain, and infrequent periods. It is typically diagnosed after menarche. We report a case of a 20-year-old female who was admitted to the casualty ward following a road accident. She was Incidentally found to have uterine didelphys with hemorrhagic cystic lesion and left renal agenesis on ultrasonography (USG). She also had gallbladder stones, along with the findings mentioned above. Clinicians should exclude HWW syndrome in cases where uterine didelphys and unilateral renal agenesis coexist. Prompt identification and treatment of the condition can help avoid potential untoward pregnancy-related issues in the future.