OHVIRA SYNDROME COMPLICATED WITH UPPER GENITAL TRACT INFECTION: A CASE REPORT
Oumaima Kassou*, Amani Ghazalah, Nisrine Benaouicha, Aziz Baidada
ABSTRACT
Introduction and importance: Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) is a rare congenital urogenital malformation with uterus didelphys, obstructed hemi-vagina, and renal agenesis. Case presentation: we report a 18-year-old female admitted with lower abdominal pain with smelly clotted vaginal progressing in the context of a complicated upper genital tract infection in whom MRI examination confirmed the diagnosis of OHVIRA syndrome. The early diagnosis and management help prevent complications such as upper genital tract infection and pelvic peritonitis. Clinical discussion: The most frequent symptom of OHVIRA syndrome involves isolated hematocolpos. MRI is the recommended diagnostic imaging method. Routine laparoscopy is not required. Vaginal septectomy is an effective surgical technique for relieving symptoms and preventing potential complications in the majority of OHVIRA patients. Conclusion: OHVIRA syndrome must be suspected in any patient, especially adolescents, presenting with non-specific pelvic pain.
[Full Text Article] [Download Certificate]