# Endoscopic treatement by vaginoscopy of a Herlyn-Werner-Wunderlich syndrome: A case report

## TL;DR

A rare congenital disorder called Herlyn-Werner-Wunderlich syndrome is described, highlighting its delayed symptoms and the importance of early diagnosis and treatment to prevent complications.

## Contribution

This case report provides a detailed clinical presentation and management of Herlyn-Werner-Wunderlich syndrome using endoscopic treatment.

## Key findings

- MRI is the gold standard for diagnosing Herlyn-Werner-Wunderlich syndrome.
- Early surgical intervention prevents complications like infertility and chronic pelvic pain.
- Symptoms often appear after menarche due to hemivaginal obstruction.

## Abstract

Herlyn-Werner-Wunderlich syndrome is a rare complex congenital disorder, presenting with obstructed vagina, uterus didelphys and ipsilateral renal agenesis.

Hemivaginal obstruction firstly asymptomatic, leads to symptoms after menarche such as dysmenorrhea, pelvic pain or infertility.

A 15-year-old patient presenting with few symptoms, transvaginal ultrasound reveals an hematocolpos, we report also typical findings of this disorder on magnetic resonance imaging.

The pelvic pain caused by the hematocolpos is the main symptom that leads patients to consult often urgently, the MRI is the gold standard exam to confirm diagnosis, the treatment consists on incision the septum vaginal and leads to avoid complications.

Early diagnosis of this syndrome usually leads to initiate surgical treatment in order to avoid complications.

•Herlyn-Werner-Wunderlich Syndrome is a rare Mullerian malformation.•It's mostly asymptomatic until the onset of the first menstrual period.•Radiological exams help characterize and describe the malformation's anatomy.•Early surgical management prevents later complications

Herlyn-Werner-Wunderlich Syndrome is a rare Mullerian malformation.

It's mostly asymptomatic until the onset of the first menstrual period.

Radiological exams help characterize and describe the malformation's anatomy.

Early surgical management prevents later complications