Abstract：
Herlyn-Werner-Wunderlich syndrome is an uncommon urogenital anomaly defined by uterus didelphys, obstructed hemi-vagina and unilateral renal anomalies. The most common clinical presentation is dysmenorrhoea following menarche, but it can also present as pain and an abdominal mass. Prader-Willi syndrome is a rare neuroendocrine genetic syndrome. Hypothalamic dysfunction is common and pituitary hormone deficiencies including hypogonadism are prevalent. We report the case of a 33-year-old female with Prader-Willi syndrome who was referred to the Gynaecology clinic due to vaginal bleeding and abdominal pain. Abdominal ultrasound revealed a haematometra and haematocolpos and computed tomography showed a uterus malformation and a right uterine cavity occupation (hematometra) as well as right kidney agenesis. Vaginoscopy and hysteroscopy were performed under general anaesthesia, finding a right bulging vaginal septum and a normal left cervix and hemiuterus. Septotomy was performed with complete haematometrocolpos drainage. The association of the two syndromes remains unclear.
摘要：
Herlyn-Werner-Wunderlich综合征是一种罕见的泌尿生殖系统异常，由子宫didelphys定义，阻塞的半阴道和单侧肾脏异常。最常见的临床表现是初潮后的痛经，但它也可以表现为疼痛和腹部肿块。Prader-Willi综合征是一种罕见的神经内分泌遗传综合征。下丘脑功能障碍是常见的，包括性腺机能减退在内的垂体激素缺乏很普遍。我们报告了一名33岁的Prader-Willi综合征女性，由于阴道出血和腹痛而被转诊至妇科诊所。腹部超声检查显示血肿和血肿，计算机断层扫描显示子宫畸形和右子宫腔占据（血肿）以及右肾发育不全。在全身麻醉下进行阴道镜检查和宫腔镜检查，找到右阴道隔膜和正常的左子宫颈和半子宫。进行隔离切开术并进行完全的血吸虫引流。这两种综合征的关联尚不清楚。
