日本産科婦人科内視鏡学会雑誌
Online ISSN : 1884-5746
Print ISSN : 1884-9938
症例報告
Herlyn-Werner症候群に対して腹腔鏡下患側子宮摘出術を行い月経困難症状が軽快した1症例
串本 卓哉橋村 茉利子竹田 満寿美玉田 将紺谷 佳代三好 愛宮武 崇三村 真由子長松 正章横井 猛
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2015 年 31 巻 1 号 p. 199-202

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Girls usually experience only mild pain during their first menstrual cycle, and severe pain at menarche is occasionally indicative of a uterine anomaly.
Case report: An 11-year-old girl, who had been diagnosed with a left renal defect and ureterocele 2 years previously, presented to our emergency room with severe dysmenorrhea 1 day after her second menstrual cycle began. Imaging revealed the presence of a double uterus, left cervical cyst, and ipsilateral renal defect. Thus, she was diagnosed with Wunderlich syndrome. Although cyst drainage was attempted, the wall was too rigid. In addition, uterus bicornis unicollis was noted during laparoscopy. Finally, an intraoperative diagnosis of Herlyn-Werner syndrome was made during laparoscopic left hysterectomy.
Discussion: Herlyn-Werner syndrome, obstructed hemivagina and ipsilateral renal anomaly syndrome, and Wunderlich syndrome are rare Mullerian anomalies that have many common features.
Conclusion: Diagnosis of these syndromes in girls is difficult, and the treatment differs in each case. Hence, flexibility in treatment is essential.
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© 2015 日本産科婦人科内視鏡学会
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