EURORAD ESR

Case 14958

Herlyn-Werner-Wunderlich syndrome with ectopic ureteral stump

Author(s)
Maria Ana Serrado1, Guida Castanha1

Hospital Nélio Mendonça, SESARAM; Avenida Luís de Camões 9004-514 Funchal, Portugal; Email:m_serrado@hotmail.com
 
Patient
female, 12 year(s)
 
 
  • Figure 1
    Left renal agenesis
     

    Longitudinal oblique US image of renal ultrasound shows an enlarged right kidney.

     
    Area of Interest: Kidney; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Coronal T2WI image confirms the presence of an enlarged right kidney and the absence of the left kidney.

     
    Area of Interest: Kidney; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 2
    Pelvic organs characterization
     

    Transverse US image of the pelvis shows a normal pre-pubertal uterus.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Axial T2WI image confirms the presence of two uteri (red arrows) and two cervixes (yellow arrows), previously identified by ultrasound.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Axial T2WI image confirms the presence of two hemivaginas, in continuity with the left hemivagina (green arrow) a tubular structure (blue arrow) is identified. The right hemivagina is flattened (asterisk).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Coronal T2WI image confirms the presence of two hemiuteri (red arrows) and the ureteral stump (blue arrow) is clearly depicted on the left side. The ovaries have normal appearance.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Sagittal T2WI image shows the ureteral stump (blue arrow).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
Longitudinal oblique US image of renal ultrasound shows an enlarged right kidney.
 
Coronal T2WI image confirms the presence of an enlarged right kidney and the absence of the left kidney.
 
Transverse US image of the pelvis shows a normal pre-pubertal uterus.
 
Axial T2WI image confirms the presence of two uteri (red arrows) and two cervixes (yellow arrows), previously identified by ultrasound.
 
Axial T2WI image confirms the presence of two hemivaginas, in continuity with the left hemivagina (green arrow) a tubular structure (blue arrow) is identified. The right hemivagina is flattened (asterisk).
 
Coronal T2WI image confirms the presence of two hemiuteri (red arrows) and the ureteral stump (blue arrow) is clearly depicted on the left side. The ovaries have normal appearance.
 
Sagittal T2WI image shows the ureteral stump (blue arrow).
 
 
 
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