2020 Volume 72 Issue 2 Pages 76-81
Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome is a rare disease characterized by a double uterus, blind hemivagina, and ipsilateral renal agenesis. In this disease, menstrual blood pools in the closing vaginal cavity within several years from the first menstruation, often causing periodic lower abdominal pain, dysmenorrhea, and atypical genital bleeding. This case report describes a case of OHVIRA syndrome treated with transvaginal endoscopy. A 17-year-old adolescent girl who had her first menstruation at age nine years, with a 28-day menstrual cycle, gravida 0, coitus (-), visited her previous physician with a chief complaint of lower abdominal pain and atypical genital bleeding. She was referred to our hospital and underwent a medical examination. We diagnosed OHVIRA syndrome by magnetic resounance imaging, computed tomography and drip infusion pyelography and then performed surgery for the closed vaginal cavity using laparoscope transvaginally. In this case, Using laparoscope transvaginally was effective for the treatment of OHVIRA syndrome. [Adv Obstet Gynecol, 72 (2) :76-81, 2020 (R2.5)]
