Abstract
Abstract Background Herlyn–Werner–Wunderlich (HWW) syndrome is a rare congenital anomaly of the urogenital tract, characterised by triad of uterus didelphys, obstructed hemivagina and ipsilateral renal agenesis. We report the rare presentation, radiographic findings and outcome of a young girl with HWW syndrome who underwent surgical management at our hospital. Case A young girl who attained menarche presented with dysmenorrhoea and frequent loose stools for a month. She underwent successful hysterolaparoscopic resection of septum with evidence of retrograde menstruation. Conclusion HWW is a rare condition. The most urgent concern is retrograde menstruation due to the obstructed hemivagina. It is parallel to the patent vaginal canal, less pliable and closer to cervix. These anatomical differences contribute to diagnostic delay and surgical challenges.
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