{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T22:28:43Z","timestamp":1775687323707,"version":"3.50.1"},"reference-count":10,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,4,28]]},"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:p>Herlyn-Werner-Wunderlich syndrome, a rare Mullerian duct anomaly, includes a triad of uterine didelphys, obstructed haemivagina and ipsilateral renal agenesis. A 58-year-old woman with Herlyn-Werner-Wunderlich syndrome, reported of recurrent genital bleeding for 9 years, was finally diagnosed with endometrial cancer. She had a history of vaginal septum resection and nephrectomy of atrophic right kidney. MRI demonstrated uterine didelphys, a tumour filling the left uterus and a cyst on the right lateral side of the uterus. Robot-assisted hysterectomy, including bilateral salpingo-oophorectomy and pelvic lymphadenectomy, was performed. As the cyst communicated with the right cervix, but not with the urinary tract, a Gartner duct cyst was diagnosed. Uncertain diagnosis and delay of treatment in endometrial cancer may occur in patients with Herlyn-Werner-Wunderlich syndrome. We should preoperatively fully evaluate the anatomy of the uterus and surrounding tissues and plan surgical procedures, especially in patients with urogenital malformations.<\/jats:p>","DOI":"10.1136\/bcr-2020-240001","type":"journal-article","created":{"date-parts":[[2021,5,19]],"date-time":"2021-05-19T13:43:19Z","timestamp":1621431799000},"page":"e240001","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Robot-assisted laparoscopic hysterectomy for endometrial cancer in a patient with Herlyn-Werner-Wunderlich syndrome"],"prefix":"10.1136","volume":"14","author":[{"given":"Misa","family":"Kobayashi","sequence":"first","affiliation":[{"name":"Seirei Hamamatsu General Hospital, Hamamatsu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroharu","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Seirei Hamamatsu General Hospital, Hamamatsu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoru","family":"Nakayama","sequence":"additional","affiliation":[{"name":"Seirei Hamamatsu General Hospital, Hamamatsu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Adachi","sequence":"additional","affiliation":[{"name":"Seirei Hamamatsu General Hospital, Hamamatsu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,5,19]]},"reference":[{"key":"2025082710062609000_14.5.e240001.1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/det098"},{"key":"2025082710062609000_14.5.e240001.2","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1080\/15384047.2017.1281495","article-title":"Endometrial cancer with congenital uterine anomalies: 3 case reports and a literature review","volume":"18","author":"Gao","year":"2017","journal-title":"Cancer Biol Ther"},{"key":"2025082710062609000_14.5.e240001.3","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1016\/j.tjog.2019.11.028","article-title":"Endometrial carcinoma arising in one horn of a didelphys uterus","volume":"59","author":"Vanichtantikul","year":"2020","journal-title":"Taiwan J Obstet Gynecol"},{"key":"2025082710062609000_14.5.e240001.4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2002.01088.x"},{"key":"2025082710062609000_14.5.e240001.5","doi-asserted-by":"crossref","first-page":"vi33","DOI":"10.1093\/annonc\/mdt353","article-title":"Endometrial cancer: ESMO clinical practice guidelines for diagnosis, treatment and follow-up","volume":"24(Suppl 6)","author":"Colombo","year":"2013","journal-title":"Ann Oncol"},{"key":"2025082710062609000_14.5.e240001.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(16)59942-7"},{"key":"2025082710062609000_14.5.e240001.7","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1007\/s13244-016-0515-4","article-title":"Diagnostic imaging and cataloguing of female genital malformations","volume":"7","author":"Aci\u00e9n","year":"2016","journal-title":"Insights Imaging"},{"key":"2025082710062609000_14.5.e240001.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2005.10.815"},{"key":"2025082710062609000_14.5.e240001.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2018.01.002"},{"key":"2025082710062609000_14.5.e240001.10","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1016\/j.jpurol.2019.08.001","article-title":"Robot-assisted repair of a urogenital sinus with an anorectal malformation in a patient with McKusick-Kaufman syndrome","volume":"15","author":"Phillips","year":"2019","journal-title":"J Pediatr Urol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-240001","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:06:33Z","timestamp":1756314393000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-240001"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5]]},"references-count":10,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2021,5,19]]},"published-print":{"date-parts":[[2021,5]]}},"alternative-id":["10.1136\/bcr-2020-240001"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-240001","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5]]}}}