Pyometra and Pregnancy with Herlyn-Werner-Wunderlich Syndrome

We describe a Herlyn-Werner-Wunderlich syndrome (HWWS) patient with previous history of infertility who got pregnant without treatment and presented a pyometra in the contralateral uterus throughout the gestational period, despite multiple antibiotic treatments. Due to the uterus' congenital an...

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Bibliographic Details
Published in:Revista Brasileira de ginecologia e obstetrícia 2016-12, Vol.38 (12), p.623-628
Main Authors: Reis, Maria Inês, Vicente, Ana Patrícia, Cominho, Joana, Gomes, Andrea Sousa, Martins, Luísa, Nunes, Filomena
Format: Article
Language:English
Subjects:
Abnormalities, Multiple - diagnostic imaging
Adult
Case Report
Female
Herlyn-Werner-Wunderlich syndrome
Humans
Infertility, Female - etiology
Kidney - abnormalities
magnetic resonance imaging and ultrasonography
OBSTETRICS & GYNECOLOGY
Pregnancy
Pyometra
Syndrome
Ultrasonography, Prenatal
Urogenital Abnormalities - complications
Urogenital Abnormalities - diagnostic imaging
Uterus - abnormalities
Uterus - diagnostic imaging
Vagina - abnormalities
Vagina - diagnostic imaging
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Summary:We describe a Herlyn-Werner-Wunderlich syndrome (HWWS) patient with previous history of infertility who got pregnant without treatment and presented a pyometra in the contralateral uterus throughout the gestational period, despite multiple antibiotic treatments. Due to the uterus' congenital anomaly and the possibility of ascending infection with subsequent abortion, this pregnancy was classified as high-risk. We believe that the partial horizontal septum in the vagina may have contributed to the closure of the gravid uterus cervix, thus ensuring that the pregnancy came to term, with an uneventful vaginal delivery.
ISSN:0100-7203
1806-9339
1806-9339
DOI:10.1055/s-0036-1594304