TITLE:
Resection of Vaginal Septum in Obstructed Hemivagina and Ipsilateral Renal Anomaly: Utility of Three Dimensional Intraoperative Ultrasound
AUTHORS:
Conway Xu, Shannon M. Osborne, Jonia Alshiek, S. Abbas Shobeiri, Rachel K. Casey
KEYWORDS:
OHVIRA Syndrome, 3D Intraoperative Ultrasound
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.11 No.4,
April
15,
2021
ABSTRACT: Background: Obstructed hemivagina and ipsilateral renal anomaly
(OHVIRA) syndrome is a rare congenital condition of the
female urogenital tract, presenting intraoperative challenges. We demonstrate
the utility of three dimensional intraoperative ultrasound to better delineate
anatomy and aid in optimal resection of the vaginal septum. Case: A
12-year-old female was referred to pediatric and adolescent gynecology for
irregular periods and evaluation of her gynecologic organs. Imaging studies
confirmed OHVIRA syndrome. She underwent uncomplicated vaginal septum
resection, guided by three dimensional intraoperative ultrasound. Summary
and Conclusion: Intraoperative ultrasound can better delineate challenging
anatomy. We show that three dimensional intraoperative ultrasound offers
significant advantages over traditional two dimensional ultrasound and is a
supplement to MRI, which may be helpful in complex anatomical cases like OHVIRA
syndrome.