Laparoscopic en bloc resection of a para-cervical cancer with OHVIRA syndrome

Taiwan J Obstet Gynecol. 2018 Feb;57(1):141-143. doi: 10.1016/j.tjog.2017.12.024.

Abstract

Objective: There are some reports of cervical cancer with uterus didelphys but a case of clear cell carcinoma (CCCC) with Obstructed Hemivagina and Ipsilateral Renal Anomaly (OHVIRA) syndrome is extremely rare. The aim of this paper was to report a case of CCCC with OHVIRA syndrome and the difficulty in making a preoperative diagnosis.

Case report: A 65 years old woman presented with postmenopausal bleeding and pelvic examination showed right paracervical mass. Preoperative confirmation of cervical carcinoma was difficult due to the location of the mass, which was inaccessible by cervical punch biopsy. Pelvic examination revealed a large mass in pelvic cavity without parametrial invasion and ultrasound showed approximately 70 mm cervical tumor. Laparoscopic surgery revealed clear cell carcinoma of the para-endocervix with OHVIRA syndrome.

Conclusion: In the case of cervical carcinoma with OHVIRA syndrome, laparoscopic surgery is preferable for the diagnosis and management.

Keywords: Cervical cancer; Laparoscopic hysterectomy; Mullerian duct anomaly; OHVIRA syndrome; Paracervical tumor.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Female
  • Humans
  • Hysterectomy / methods*
  • Kidney / abnormalities
  • Kidney / surgery*
  • Laparoscopy / methods*
  • Magnetic Resonance Imaging / methods
  • Syndrome
  • Urogenital Abnormalities / complications
  • Urogenital Abnormalities / surgery*
  • Uterine Cervical Neoplasms / diagnosis*
  • Uterine Cervical Neoplasms / surgery
  • Uterus / abnormalities*
  • Uterus / surgery
  • Vagina / abnormalities
  • Vagina / surgery*

Supplementary concepts

  • Uterine Anomalies