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CC BY-NC-ND 4.0 · Rev Bras Ginecol Obstet 2016; 38(12): 623-628
DOI: 10.1055/s-0036-1594304
Case Report
Thieme Publicações Ltda Rio de Janeiro, Brazil

Pyometra and Pregnancy with Herlyn-Werner-Wunderlich Syndrome

Piometria e gravidez com síndrome de Herlyn-Werner-Wunderlich
Maria Inês Reis
1   Department of Obstetrics and Gynecology and Department of Maternal Fetal Medicine, Hospital Dr. José de Almeida, Lisbon, Portugal
,
Ana Patrícia Vicente
1   Department of Obstetrics and Gynecology and Department of Maternal Fetal Medicine, Hospital Dr. José de Almeida, Lisbon, Portugal
,
Joana Cominho
1   Department of Obstetrics and Gynecology and Department of Maternal Fetal Medicine, Hospital Dr. José de Almeida, Lisbon, Portugal
,
Andrea Sousa Gomes
1   Department of Obstetrics and Gynecology and Department of Maternal Fetal Medicine, Hospital Dr. José de Almeida, Lisbon, Portugal
,
Luísa Martins
1   Department of Obstetrics and Gynecology and Department of Maternal Fetal Medicine, Hospital Dr. José de Almeida, Lisbon, Portugal
,
Filomena Nunes
1   Department of Obstetrics and Gynecology and Department of Maternal Fetal Medicine, Hospital Dr. José de Almeida, Lisbon, Portugal
› Author Affiliations
Further Information

Publication History

29 June 2016

03 October 2016

Publication Date:
21 December 2016 (online)

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Abstract

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.

Resumo

Os autores descrevem uma paciente com síndrome de Herlyn-Werner-Wunderlich (SHWW) e história prévia de infertilidade, que engravidou espontaneamente. Durante todo o período gestacional apresentou, apesar da instituição de antibioticoterapia, um piometra localizado ao útero não gravídico. Devido à anomalia congênita uterina e ao risco de infeção ascendente, com possível desfecho obstétrico desfavorável, esta gravidez foi classificada de alto risco. O septo vaginal horizontal e parcial poderá ter contribuído para ausência de disseminação da infecção, permitindo que a gravidez tenha chegado a termo, com um parto vaginal, sem intercorrências.

Keywords

Herlyn-Werner-Wunderlich syndrome - pyometra - pregnancy - magnetic resonance imaging and ultrasonography

Palavras-Chave

síndrome de Herlyn-Werner-Wunderlich - piometra - gravidez - ultrasonografia e ressonância magnética
 

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