{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T11:07:06Z","timestamp":1789643226930,"version":"4.0.0"},"reference-count":82,"publisher":"MDPI AG","issue":"24","license":[{"start":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T00:00:00Z","timestamp":1733875200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: Endometriosis and urogenital malformation with uterus didelphys and renal agenesis might occur concomitantly, and the question arises whether both entities are associated with each other. Methods: A literature search was conducted in PubMed and Web of Science, using the following search terms: \u201cendometriosis and uterine malformation, endometriosis and Herlyn\u2013Werner\u2013Wunderlich syndrome\u201d, \u201cendometriosis and OHVIRA (Obstructed Hemivagina and Ipsilateral Renal Anomaly) syndrome\u201d and \u201cuterus didelphys, renal agenesis and endometriosis\u201d. Results: We identified and examined 36 studies, comprising a total of 563 cases with coinciding endometriosis and OHVIRA. The most prevalent symptoms were dysmenorrhea and lower abdominal pain. Renal agenesis occurred more frequently on the right side. In the majority of cases, vaginal septum resection was performed to alleviate hematometrocolpos. Among the 97 cases necessitating abdominal exploration, endometriosis was identified in 61 patients (62.9%), although this figure is most likely an overestimation. However, a significantly heightened risk of endometriosis was evident. Conclusions: This literature review highlights the importance of considering the potential for urogenital malformation and endometriosis in cases of dysmenorrhea during adolescence. Ultrasound examination has proven to be a valuable diagnostic tool for identifying uterine abnormalities and guiding subsequent diagnostic and, if necessary, surgical interventions. Thorough assessment and appropriate management are imperative to mitigating the long-term consequences associated with deep infiltrating endometriosis.<\/jats:p>","DOI":"10.3390\/jcm13247530","type":"journal-article","created":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T06:44:05Z","timestamp":1733899445000},"page":"7530","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Endometriosis Coinciding with Uterus Didelphys and Renal Agenesis: A Literature Review"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1589-2016","authenticated-orcid":false,"given":"Davut","family":"Dayan","sequence":"first","affiliation":[{"name":"Klinik f\u00fcr Frauenheilkunde und Geburtshilfe, Universit\u00e4tsklinikum Ulm, 89075 Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2066-5344","authenticated-orcid":false,"given":"Florian","family":"Ebner","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Frauenheilkunde und Geburtshilfe, Universit\u00e4tsklinikum Ulm, 89075 Ulm, Germany"},{"name":"Abteilung f\u00fcr Frauenheilkunde und Geburtshilfe, Alb-Donau Klinikum Ehingen, 89584 Ehingen (Donau), Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang","family":"Janni","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Frauenheilkunde und Geburtshilfe, Universit\u00e4tsklinikum Ulm, 89075 Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katharina","family":"Hancke","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Frauenheilkunde und Geburtshilfe, Universit\u00e4tsklinikum Ulm, 89075 Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Duygu","family":"Adiyaman","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Frauenheilkunde und Geburtshilfe, Universit\u00e4tsklinikum Ulm, 89075 Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beate","family":"Huener","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Frauenheilkunde und Geburtshilfe, Universit\u00e4tsklinikum Ulm, 89075 Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Hensel","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Frauenheilkunde und Geburtshilfe, Universit\u00e4tsklinikum Ulm, 89075 Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1227-1118","authenticated-orcid":false,"given":"Andreas Daniel","family":"Hartkopf","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Frauenheilkunde und Geburtshilfe, Universit\u00e4tsklinikum Ulm, 89075 Ulm, Germany"},{"name":"Department f\u00fcr Frauengesundheit, Universit\u00e4ts-Frauenklinik T\u00fcbingen, 72076 T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marinus","family":"Schmid","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Frauenheilkunde und Geburtshilfe, Universit\u00e4tsklinikum Ulm, 89075 Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9336-2267","authenticated-orcid":false,"given":"Stefan","family":"Lukac","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Frauenheilkunde und Geburtshilfe, Universit\u00e4tsklinikum Ulm, 89075 Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,12,11]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1055\/a-1380-3693","article-title":"Diagnosis and Treatment of Endometriosis. Guideline of the DGGG, SGGG and OEGGG (S2k Level, AWMF Registry Number 015\/045, August 2020)","volume":"81","author":"Burghaus","year":"2021","journal-title":"Geburtshilfe Frauenheilkd."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1093\/humrep\/det457","article-title":"ESHRE guideline: Management of women with endometriosis","volume":"29","author":"Dunselman","year":"2014","journal-title":"Hum. Reprod."},{"key":"ref_3","first-page":"361","article-title":"Extragenital Endometriosis in the Differential Diagnosis of Non- Gynecological Diseases","volume":"119","author":"Lukac","year":"2022","journal-title":"Dtsch. Arztebl. Int."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Smolarz, B., Szyllo, K., and Romanowicz, H. (2021). Endometriosis: Epidemiology, Classification, Pathogenesis, Treatment and Genetics (Review of Literature). Int. J. Mol. Sci., 22.","DOI":"10.3390\/ijms221910554"},{"key":"ref_5","first-page":"93","article-title":"Metastatic or Embolic Endometriosis, due to the Menstrual Dissemination of Endometrial Tissue into the Venous Circulation","volume":"3","author":"Sampson","year":"1927","journal-title":"Am. J. Pathol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1111\/aogs.13040","article-title":"Endometriosis and uterine malformations: Infertility may increase severity of endometriosis","volume":"96","author":"Boujenah","year":"2017","journal-title":"Acta Obstet. Gynecol. Scand."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1093\/humrep\/dei344","article-title":"Is there an association between septate uterus and endometriosis?","volume":"21","author":"Nawroth","year":"2006","journal-title":"Hum. Reprod."},{"key":"ref_8","first-page":"412","article-title":"Endometriosis and mullerian anomalies","volume":"69","author":"Olive","year":"1987","journal-title":"Obstet. Gynecol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1723","DOI":"10.1007\/s00261-020-02465-y","article-title":"Mullerian duct anomalies coincident with endometriosis: A review","volume":"45","author":"Pitot","year":"2020","journal-title":"Abdom. Radiol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1159\/000292349","article-title":"Endometriosis in association with mullerian anomalies","volume":"40","author":"Ugur","year":"1995","journal-title":"Gynecol. Obstet. Investig."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1038\/s41588-023-01323-z","article-title":"The genetic basis of endometriosis and comorbidity with other pain and inflammatory conditions","volume":"55","author":"Rahmioglu","year":"2023","journal-title":"Nat. Genet."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Santin, A., Spedicati, B., Morgan, A., Lenarduzzi, S., Tesolin, P., Nardone, G.G., Mazza, D., Di Lorenzo, G., Romano, F., and Buonomo, F. (2023). Puzzling Out the Genetic Architecture of Endometriosis: Whole-Exome Sequencing and Novel Candidate Gene Identification in a Deeply Clinically Characterised Cohort. Biomedicines, 11.","DOI":"10.3390\/biomedicines11082122"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1007\/s00404-012-2361-z","article-title":"Endometriosis: A premenopausal disease? Age pattern in 42,079 patients with endometriosis","volume":"286","author":"Haas","year":"2012","journal-title":"Arch. Gynecol. Obstet."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1111\/1471-0528.14711","article-title":"Epidemiology of endometriosis: A large population-based database study from a healthcare provider with 2 million members","volume":"125","author":"Eisenberg","year":"2018","journal-title":"BJOG"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"696","DOI":"10.1016\/j.jpedsurg.2022.04.002","article-title":"OHVIRA (Obstructed Hemivagina and Ipsilateral Renal Anomaly or Herlyn-Werner-Wunderlich syndrome): Is it time for age-specific management?","volume":"57","author":"Zarfati","year":"2022","journal-title":"J. Pediatr. Surg."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1016\/j.ejogrb.2021.03.018","article-title":"Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA): Early diagnosis, treatment and outcomes","volume":"261","author":"Yang","year":"2021","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Lecka-Ambroziak, A., Skobejko-Wlodarska, L., and Ruta, H. (2023). The Need for Earlier Diagnosis of Obstructed Hemivagina and Ipsilateral Renal Agenesis\/Anomaly (OHVIRA) Syndrome in Case of Renal Agenesis in Girls-Case Report and Review of the Literature. J. Clin. Med., 12.","DOI":"10.3390\/jcm12237284"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s10397-015-0909-1","article-title":"The Thessaloniki ESHRE\/ESGE consensus on diagnosis of female genital anomalies","volume":"13","author":"Grimbizis","year":"2016","journal-title":"Gynecol. Surg."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"e137","DOI":"10.1016\/j.jpag.2010.01.006","article-title":"Unilateral non-communicating cervical atresia in a patient with uterus didelphys and unilateral renal agenesis","volume":"23","author":"Saleh","year":"2010","journal-title":"J. Pediatr. Adolesc. Gynecol."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Panaitescu, A.M., Peltecu, G., and Gica, N. (2022). Herlyn-Werner-Wunderlich Syndrome: Case Report and Review of the Literature. Diagnostics, 12.","DOI":"10.3390\/diagnostics12102466"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1238","DOI":"10.1016\/j.fertnstert.2021.09.025","article-title":"ASRM mullerian anomalies classification 2021","volume":"116","author":"Pfeifer","year":"2021","journal-title":"Fertil. Steril."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1007\/s00247-007-0497-y","article-title":"Herlyn-Werner-Wunderlich syndrome: Uterus didelphys, blind hemivagina and ipsilateral renal agenesis. Sonographic and MR findings in 11 cases","volume":"37","author":"Orazi","year":"2007","journal-title":"Pediatr. Radiol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"790","DOI":"10.1016\/j.fertnstert.2014.05.025","article-title":"Endometriosis in association with Herlyn-Werner-Wunderlich syndrome","volume":"102","author":"Tong","year":"2014","journal-title":"Fertil. Steril."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1409","DOI":"10.1007\/s00404-022-06856-y","article-title":"Anatomical variations, treatment and outcomes of Herlyn-Werner-Wunderlich syndrome: A literature review of 1673 cases","volume":"308","author":"Liu","year":"2023","journal-title":"Arch. Gynecol. Obstet."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"756","DOI":"10.1016\/S0015-0282(16)54955-3","article-title":"Uterus didelphys, obstructed hemivagina, and ipsilateral renal agenesis: The University of Minnesota experience","volume":"57","author":"Stassart","year":"1992","journal-title":"Fertil. Steril."},{"key":"ref_26","first-page":"83","article-title":"Obstructed hemivagina and ipsilateral renal anomaly syndrome in an association with endometriosis: Role of Magnetic Resonance Imaging in diagnosis","volume":"79","author":"Choridah","year":"2024","journal-title":"Med. J. Malays."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Takahashi, N., Harada, M., Kanatani, M., Wada-Hiraike, O., Hirota, Y., and Osuga, Y. (2024). The Association between Endometriosis and Obstructive Mullerian Anomalies. Biomedicines, 12.","DOI":"10.3390\/biomedicines12030651"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"462.e9","DOI":"10.1016\/j.fertnstert.2005.12.064","article-title":"Bicornuate rudimentary uterine horns with functioning endometrium and complete cervical-vaginal agenesis coexisting with ovarian endometriosis: A case report","volume":"86","author":"Goluda","year":"2006","journal-title":"Fertil. Steril."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"2141","DOI":"10.1002\/ajmg.a.37775","article-title":"Etiologies of uterine malformations","volume":"170","author":"Jacquinet","year":"2016","journal-title":"Am. J. Med. Genet. A"},{"key":"ref_30","unstructured":"(2024, August 01). Prisma. Available online: https:\/\/www.prisma-statement.org\/prisma-2020-flow-diagram."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"243","DOI":"10.4103\/0971-3026.120283","article-title":"Herlyn-Werner-Wunderlich syndrome presenting with infertility: Role of MRI in diagnosis","volume":"23","author":"Ahmad","year":"2013","journal-title":"Indian J. Radiol. Imaging"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"e159","DOI":"10.1016\/j.jpag.2009.02.001","article-title":"Successful pregnancy following surgery in the obstructed uterus in a uterus didelphys with unilateral distal vaginal agenesis and ipsilateral renal agenesis: Case report and literature review","volume":"22","author":"Altchek","year":"2009","journal-title":"J. Pediatr. Adolesc. Gynecol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"108368","DOI":"10.1016\/j.ijscr.2023.108368","article-title":"Obstructed hemivagina and ipsilateral renal agenesis (OHVIRA) syndrome: A case report","volume":"107","author":"Arakaki","year":"2023","journal-title":"Int. J. Surg. Case Rep."},{"key":"ref_34","first-page":"805","article-title":"Obstructed Hemivagina and Ipsilateral Renal Anomaly Syndrome Rare Obstructive Uterovaginal Anomaly: A Case Report","volume":"58","author":"Basnet","year":"2020","journal-title":"JNMA J. Nepal Med. Assoc."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"2771","DOI":"10.1016\/j.radcr.2023.05.024","article-title":"Herlyn-Werner-Wunderlich syndrome also known as obstructed hemivagina and ipsilateral renal anomaly: A case report and a comprehensive review of literature","volume":"18","author":"Borges","year":"2023","journal-title":"Radiol. Case Rep."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1016\/S1701-2163(16)32819-5","article-title":"Uterus didelphys with unilateral renal agenesis","volume":"30","author":"Cheung","year":"2008","journal-title":"J. Obstet. Gynaecol. Can."},{"key":"ref_37","first-page":"9","article-title":"Herlyn-Werner-Wunderlich syndrome: A rare presentation with pyocolpos","volume":"6","author":"Cox","year":"2012","journal-title":"J. Radiol. Case Rep."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.ijscr.2019.08.035","article-title":"Herlyn-Werner-Wunderlich syndrome: Diagnosis and treatment of an atypical case and review of literature","volume":"63","author":"Agulham","year":"2019","journal-title":"Int. J. Surg. Case Rep."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1435","DOI":"10.1016\/j.radcr.2022.02.017","article-title":"The Herlyn-Werner-Wunderlich (HWW) syndrome\u2014A case report with radiological review","volume":"17","author":"Hayat","year":"2022","journal-title":"Radiol. Case Rep."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"395","DOI":"10.12659\/PJR.897228","article-title":"The Herlyn-Werner-Wunderlich Syndrome\u2014A Case Report with Radiological Review","volume":"81","author":"Khaladkar","year":"2016","journal-title":"Pol. J. Radiol."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1016\/j.jmig.2023.01.019","article-title":"Vaginoscopic Resection of Oblique Vaginal Septum in OHVIRA Syndrome Before Menarche","volume":"30","author":"Kulkarni","year":"2023","journal-title":"J. Minim. Invasive Gynecol."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"20","DOI":"10.3892\/mi.2021.20","article-title":"OHVIRA syndrome pre-operatively diagnosed using vaginoscopy and hysteroscopy: A case report","volume":"1","author":"Mabuchi","year":"2021","journal-title":"Med. Int."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1111\/jog.14175","article-title":"Herlyn-Werner-Wunderlich syndrome with cervical atresia complicated by ovarian endometrioma: A case report","volume":"46","author":"Miyazaki","year":"2020","journal-title":"J. Obstet. Gynaecol. Res."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1016\/j.jmig.2011.01.005","article-title":"Laparoscopic management of pregnancy in a patient with uterus didelphys, obstructed hemivagina, and ipsilateral renal agenesis","volume":"18","author":"Nawfal","year":"2011","journal-title":"J. Minim. Invasive Gynecol."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1186\/s13256-019-2258-6","article-title":"Herlyn-Werner-Wunderlich syndrome presenting with dysmenorrhea: A case report","volume":"13","author":"Nishu","year":"2019","journal-title":"J. Med. Case Rep."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"E19","DOI":"10.1016\/j.jpedsurg.2006.06.026","article-title":"Laparoscopic neo-os creation in an adolescent with uterus didelphys and obstructed hemivagina","volume":"41","author":"Patterson","year":"2006","journal-title":"J. Pediatr. Surg."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"e39","DOI":"10.1016\/j.fertnstert.2011.05.013","article-title":"Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome with a single uterus","volume":"96","author":"Shah","year":"2011","journal-title":"Fertil. Steril."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1016\/j.jpag.2020.10.008","article-title":"Spontaneous Cervicovaginal Fistula in Obstructed Hemivagina and Ipsilateral Renal Anomaly Syndrome: A Case Report","volume":"34","author":"Shim","year":"2021","journal-title":"J. Pediatr. Adolesc. Gynecol."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1177\/1742271X221102576","article-title":"OHVIRA syndrome: Early recognition prevents genitourinary complications","volume":"31","author":"Sijmons","year":"2023","journal-title":"Ultrasound"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1016\/j.ijscr.2018.06.022","article-title":"A rare case of pelvic pain caused by Herlyn-Werner-Wunderlich Syndrome in an adult: A case report","volume":"49","author":"Widyakusuma","year":"2018","journal-title":"Int. J. Surg. Case Rep."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1111\/jog.15456","article-title":"Successful vaginoscopic excision of the vaginal septum in a virgin girl of obstructed hemivagina and ipsilateral renal anomaly: Case report and review of literature","volume":"49","author":"Yamada","year":"2023","journal-title":"J. Obstet. Gynaecol. Res."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"e111","DOI":"10.1016\/j.jpag.2012.05.013","article-title":"Herlyn-Werner-Wunderlich syndrome--timely diagnosis is important to preserve fertility","volume":"25","author":"Guducu","year":"2012","journal-title":"J. Pediatr. Adolesc. Gynecol."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1111\/j.1479-828X.2009.01063.x","article-title":"The obstructed hemivagina, ipsilateral renal anomaly, uterus didelphys triad","volume":"49","author":"Kimble","year":"2009","journal-title":"Aust. N. Z. J. Obstet. Gynaecol."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.jpag.2023.08.001","article-title":"Presentation and Management of Uterine Didelphys with Unilateral Cervicovaginal Agenesis\/Dysgenesis (CVAD): A Multicenter Case Series","volume":"37","author":"Moon","year":"2023","journal-title":"J. Pediatr. Adolesc. Gynecol."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"1424","DOI":"10.3109\/00016349.2010.512067","article-title":"Unilateral renal agenesis and female genital tract pathologies","volume":"89","author":"Acien","year":"2010","journal-title":"Acta. Obstet. Gynecol. Scand."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1016\/j.jpag.2017.09.013","article-title":"Obstructive Mullerian Anomalies in Menstruating Adolescent Girls: A Report of 22 Cases","volume":"31","author":"Kapczuk","year":"2018","journal-title":"J. Pediatr. Adolesc. Gynecol."},{"key":"ref_57","doi-asserted-by":"crossref","unstructured":"Kapczuk, K., Zajaczkowska, W., Madziar, K., and Kedzia, W. (2023). Endometriosis in Adolescents with Obstructive Anomalies of the Reproductive Tract. J. Clin. Med., 12.","DOI":"10.3390\/jcm12052007"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"653.e1","DOI":"10.1016\/j.jpurol.2021.06.023","article-title":"Multiple variants of obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome\u2014One clinical center case series and the systematic review of 734 cases","volume":"17","author":"Kudela","year":"2021","journal-title":"J. Pediatr. Urol."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1016\/j.jpag.2014.02.001","article-title":"The obstructed hemivagina, ipsilateral renal anomaly, and uterine didelphys triad and the subsequent manifestation of cervical aplasia","volume":"27","author":"Sabdia","year":"2014","journal-title":"J. Pediatr. Adolesc. Gynecol."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/j.ijgo.2012.11.023","article-title":"Clinical characteristics of 70 patients with Herlyn-Werner-Wunderlich syndrome","volume":"121","author":"Tong","year":"2013","journal-title":"Int. J. Gynaecol. Obstet."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"612.e7","DOI":"10.1016\/j.crad.2017.02.002","article-title":"MRI in the evaluation of obstructive reproductive tract anomalies in paediatric patients","volume":"72","author":"Zhang","year":"2017","journal-title":"Clin. Radiol."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1016\/j.jpag.2020.01.001","article-title":"Proposal of the 3O (Obstruction, Ureteric Orifice, and Outcome) Subclassification System Associated with Obstructed Hemivagina and Ipsilateral Renal Anomaly (OHVIRA)","volume":"33","author":"Zhang","year":"2020","journal-title":"J. Pediatr. Adolesc. Gynecol."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"676.e1","DOI":"10.1016\/j.jpurol.2022.04.017","article-title":"Should we screen for Mullerian anomalies following diagnosis of a congenital renal anomaly?","volume":"18","author":"Fei","year":"2022","journal-title":"J. Pediatr. Urol."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"918","DOI":"10.1016\/j.fertnstert.2006.11.015","article-title":"Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome: Management and follow-up","volume":"87","author":"Smith","year":"2007","journal-title":"Fertil. Steril."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"1580","DOI":"10.1093\/humrep\/det081","article-title":"Double uterus with obstructed hemivagina and ipsilateral renal agenesis: Pelvic anatomic variants in 87 cases","volume":"28","author":"Fedele","year":"2013","journal-title":"Hum. Reprod."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1177\/0009922809338283","article-title":"Mullerian dygenesis, renal agenesis, endometriosis, and ascites","volume":"49","author":"Herman","year":"2010","journal-title":"Clin. Pediatr."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1016\/j.fertnstert.2007.01.173","article-title":"Asymmetric lateral distribution of obstructed hemivagina and renal agenesis in women with uterus didelphys: Institutional case series and a systematic literature review","volume":"87","author":"Vercellini","year":"2007","journal-title":"Fertil. Steril."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"652.e1","DOI":"10.1016\/j.jpurol.2021.06.008","article-title":"Comparison between prepubertal and postpubertal patients with obstructed hemivagina and ipsilateral renal anomaly syndrome","volume":"17","author":"Kim","year":"2021","journal-title":"J. Pediatr. Urol."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"901","DOI":"10.1016\/j.jmig.2017.04.020","article-title":"Obstructive Reproductive Tract Anomalies: A Review of Surgical Management","volume":"24","author":"Skinner","year":"2017","journal-title":"J. Minim. Invasive Gynecol."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1016\/j.fertnstert.2017.07.009","article-title":"Maternal endometriosis and genital malformations in boys: A Danish register-based study","volume":"108","author":"Arendt","year":"2017","journal-title":"Fertil. Steril."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"1049","DOI":"10.1016\/j.fertnstert.2015.01.007","article-title":"Altered uterine contractility in women with chronic endometritis","volume":"103","author":"Pinto","year":"2015","journal-title":"Fertil. Steril."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/S0015-0282(16)57680-8","article-title":"Subendometrial contractility in menstrual phase visualized by transvaginal sonography in patients with endometriosis","volume":"64","author":"Salamanca","year":"1995","journal-title":"Fertil. Steril."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"1789","DOI":"10.1016\/S0140-6736(04)17403-5","article-title":"Endometriosis","volume":"364","author":"Giudice","year":"2004","journal-title":"Lancet"},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"1237","DOI":"10.1007\/s00404-020-05750-9","article-title":"Coincidence of uterine malformations and endometriosis: A clinically relevant problem?","volume":"302","author":"Piriyev","year":"2020","journal-title":"Arch. Gynecol. Obstet."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"1355","DOI":"10.1038\/ng.2445","article-title":"Genome-wide association meta-analysis identifies new endometriosis risk loci","volume":"44","author":"Nyholt","year":"2012","journal-title":"Nat. Genet."},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1038\/ng.731","article-title":"Genome-wide association study identifies a locus at 7p15.2 associated with endometriosis","volume":"43","author":"Painter","year":"2011","journal-title":"Nat. Genet."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1055\/s-0036-1585408","article-title":"Beyond Endometriosis Genome-Wide Association Study: From Genomics to Phenomics to the Patient","volume":"34","author":"Zondervan","year":"2016","journal-title":"Semin. Reprod. Med."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1016\/j.jmig.2006.08.010","article-title":"Septate uterus with double cervices, unilaterally obstructed vaginal septum, and ipsilateral renal agenesis: A rare combination of mullerian and wolffian anomalies complicated by severe endometriosis in an adolescent","volume":"14","author":"Hur","year":"2007","journal-title":"J. Minim. Invasive Gynecol."},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.ejogrb.2013.08.022","article-title":"Complete loss of unilateral renal function secondary to endometriosis: A report of three cases","volume":"171","year":"2013","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_80","first-page":"653","article-title":"Obstructive uropathy secondary to vesico-ureteral endometriosis: Clinical, radiologic and pathologic features","volume":"62","year":"2009","journal-title":"Arch. Esp. Urol."},{"key":"ref_81","first-page":"761348","article-title":"Acute Renal Failure due to Obstructive Uropathy Secondary to Ureteral Endometriosis","volume":"2015","author":"Choi","year":"2015","journal-title":"Case Rep. Obstet. Gynecol."},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1016\/j.ejogrb.2011.11.003","article-title":"Deep infiltrating endometriosis with obstructive uropathy secondary to ureteral endometriosis","volume":"160","author":"Wu","year":"2012","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/24\/7530\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:52:17Z","timestamp":1760115137000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/24\/7530"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,11]]},"references-count":82,"journal-issue":{"issue":"24","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["jcm13247530"],"URL":"https:\/\/doi.org\/10.3390\/jcm13247530","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,11]]}}}