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Unique Diagnosis of Obstructed Hemivagina and Ipsilateral Renal Anomaly (OHVIRA) at the time of First Trimester Ultrasound Imaging.
Journal of Pediatric and Adolescent Gynecology ( IF 1.8 ) Pub Date : 2020-08-08 , DOI: 10.1016/j.jpag.2020.08.005
Ozlem Dural 1 , Inci Sema Tas 1 , Funda Gungor Ugurlucan 1 , Cenk Yasa 1 , Ipek Evruke 1 , Barıs Bakir 2 , Suleyman Engin Akhan 1
Affiliation  

Background

Obstructed 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.

Case

We 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 Conclusion

This 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.



中文翻译:

妊娠早期超声影像学检查对梗阻性半湿疣和同侧肾脏异常(OHVIRA)的独特诊断。

背景

由于疼痛相关症状,通常在青春期就诊断出梗阻性半阴道和同侧肾脏异常(OHVIRA)综合征,但是,这种综合征可能在数年后仍未被发现,并且可能在以后的生活中出现。

案件

我们描述了一名24岁的女性,该女性被诊断为先前未知的OHVIRA综合征,并通过常规的早孕超声检查获得的独特超声图像在梗阻侧进行了7周的宫内妊娠。该患者接受了单期阴道成形术治疗,其余妊娠期一切顺利。

更新日期:2020-08-08
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