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Case Report
Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome: A case report
1 Senior House Officer, Accident and Emergency Department, Queen Elizabeth Hospital, Barbados
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Keturah Murray
Senior House Officer, Accident and Emergency Department, Queen Elizabeth Hospital
Barbados
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Article ID: 100175Z08KM2024
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Murray K. Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome: A case report. J Case Rep Images Obstet Gynecol 2024;10(2):1–5.ABSTRACT
Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome is a rare congenital abnormality marked by a triad of uterine didelphys, obstructed hemivagina, and ipsilateral renal anomaly. The condition is asymptomatic in the pre-pubertal females. Commonly it is diagnosed in young females, within a year of menarche, who present with cyclical pelvic pain with or without a mass. Rarely, these patients are identified later in life, many years after initiation of menses, and a high clinical index of suspicion must be kept. Presented here is a case of OHVIRA syndrome diagnosed in a 22-year-old nulliparous female who presented to the Accident and Emergency Department (AED) of the Queen Elizabeth Hospital, Barbados, with a two-month history of abdominal pain. A laparotomy with right ovarian cystectomy and vaginal incision and drainage of left hematocolpos with marsupialization was performed and the patient was discharged with no complications.
Keywords: Laparotomy, Müllerian anomaly, OHVIRA syndrome
SUPPORTING INFORMATION
Author Contributions
Keturah Murray - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthor declares no conflict of interest.
Copyright© 2024 Keturah Murray. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
