OHVIRA-syndrome in a newborn

Autor: J. Kueppers, L. Wehrli, S. Zundel, S. Shavit, N. Stahr, P.O. Szavay
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Pediatric Surgery Case Reports, Vol 69, Iss , Pp 101859- (2021)
Druh dokumentu: article
ISSN: 2213-5766
DOI: 10.1016/j.epsc.2021.101859
Popis: OHVIRA-Syndrome (Obstructed hemivagina with ipsilateral renal anomaly) is a rare congenital malformation. Diagnosis of this malformation is usually made during adolescence. Delayed diagnosis may result in serious complications with potential future obstetric problems. We report on a newborn girl presenting with an interlabial mass formation, a vaginal introitus on the right lateral aspect and an orthotopic urethral meatus on primary inspection. Ultrasound examination revealed left sided renal agenesis and a hydrocolpos posterior to the bladder. OHVIRA-Syndrome was assumed and a surgical incision of the obstructed left hemivagina for drainage of the hydrocolpos was performed. Further examination confirmed anatomical conditions corresponding to OHVIRA-Syndrome. Aside from routine clinical follow-up and regular ultrasound examination, further interventions were postponed until puberty. In this case report we aim to share our experience of a newborn girl with OHVIRA-Syndrome. We discuss appropriate medical decision-making regarding surgical management of patients with this malformation during each stage of development with a corresponding literature review.
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