World Journal of Pharmaceutical
and Medical Research

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical and Medical Research and Technology
An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)
ISSN (O) : 2455-3301
ISSN (P) : 3051-2557
IMPACT FACTOR: 6.842

ICV : 78.6

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Abstract

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.

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