OBSTRUCTED HEMIVAGINA AND IPSILATERAL RENAL ANOMALY SYNDROME: A NONCLASSICAL PRESENTATION WITH AN INTERCERVICAL COMMUNICATION

To describe a nonclassical presentation and infertility management of Obstructed Hemivagina with Ipsilateral Renal Agenesis Syndrome (OHVIRA), also known as Herlyn-Werner-Wunderlich (HWWS). This is case report 31-year-old female OHVIRA syndrome who presented to community-based medical center fertility office. A her obstetric provider missed abortion (MAB) decision was made for surgical management. Intraoperatively, uterine didelphys incidentally found due an inability evacuate the correct cavity during suction dilation curettage. Additionally, right cervix dilated three centimeters, likely chronic hematocolpos hematometria. MRI imaging suggested patent cervical connection at level internal os. Subsequently, she underwent complete vaginal septum excision marsupialization. prophylactic robotic-assisted transabdominal cerclage then placed concern incompetent from obstruction intercervical communication. Finally, in vitro fertilization undertaken, leading successful pregnancy outcome. classically presents adolescence nonspecific complaints dysmenorrhea or pelvic pain. We illustrate stepwise strategy women this heterogenic Mullerian anomaly achieve maintain term.