Case Report: Diagnostic overlap of OHVIRA syndrome and Gartner duct cyst: challenges in imaging and management

This case series explores the diagnostic overlap between OHVIRA syndrome (obstructed hemivagina and ipsilateral renal anomaly) and Gartner duct cyst (GDC) with ipsilateral renal dysplasia in two prepubertal girls. Both cases exhibited similar imaging features on CT and MRI—including unilateral renal...

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Main Authors: Junfeng Zhao, Yaqing Bao, Linglu Gong, Zhan Shi, Xiaoqiang Chen, Yan Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Pediatrics
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Online Access:https://www.frontiersin.org/articles/10.3389/fped.2025.1536314/full
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author Junfeng Zhao
Yaqing Bao
Linglu Gong
Zhan Shi
Xiaoqiang Chen
Yan Li
author_facet Junfeng Zhao
Yaqing Bao
Linglu Gong
Zhan Shi
Xiaoqiang Chen
Yan Li
author_sort Junfeng Zhao
collection DOAJ
description This case series explores the diagnostic overlap between OHVIRA syndrome (obstructed hemivagina and ipsilateral renal anomaly) and Gartner duct cyst (GDC) with ipsilateral renal dysplasia in two prepubertal girls. Both cases exhibited similar imaging features on CT and MRI—including unilateral renal agenesis, ectopic ureter with abnormal insertion, cystic lesions posterolateral to the bladder— which led to significant diagnostic challenges. Despite differing in pathology, the overlap in embryologic origins and imaging findings made differentiation difficult. This series underscores the importance of comprehensive imaging and a multidisciplinary approach for accurate diagnosis. Current management strategies are discussed, highlighting the need for individualized treatment plans in prepubertal patients with complex genitourinary anomalies.
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publishDate 2025-05-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Pediatrics
spelling doaj-art-c695d64d1e3c454da4e7a390a367ca412025-08-20T03:47:32ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-05-011310.3389/fped.2025.15363141536314Case Report: Diagnostic overlap of OHVIRA syndrome and Gartner duct cyst: challenges in imaging and managementJunfeng Zhao0Yaqing Bao1Linglu Gong2Zhan Shi3Xiaoqiang Chen4Yan Li5Department of Pediatric Urology, Ningbo University Affiliated Women and Children’s Hospital, Ningbo, ChinaDepartment of Pharmacy, Ningbo University Affiliated Women and Children’s Hospital, Ningbo, ChinaDepartment of Ultrasound Medicine, Ningbo University Affiliated Women and Children’s Hospital, Ningbo, ChinaDepartment of Pediatric Urology, Ningbo University Affiliated Women and Children’s Hospital, Ningbo, ChinaDepartment of Pediatric Urology, Ningbo University Affiliated Women and Children’s Hospital, Ningbo, ChinaDepartment of Pediatric Urology, Ningbo University Affiliated Women and Children’s Hospital, Ningbo, ChinaThis case series explores the diagnostic overlap between OHVIRA syndrome (obstructed hemivagina and ipsilateral renal anomaly) and Gartner duct cyst (GDC) with ipsilateral renal dysplasia in two prepubertal girls. Both cases exhibited similar imaging features on CT and MRI—including unilateral renal agenesis, ectopic ureter with abnormal insertion, cystic lesions posterolateral to the bladder— which led to significant diagnostic challenges. Despite differing in pathology, the overlap in embryologic origins and imaging findings made differentiation difficult. This series underscores the importance of comprehensive imaging and a multidisciplinary approach for accurate diagnosis. Current management strategies are discussed, highlighting the need for individualized treatment plans in prepubertal patients with complex genitourinary anomalies.https://www.frontiersin.org/articles/10.3389/fped.2025.1536314/fullOHVIRAGartner duct cyst/GDCectopic ureteroblique septumrenal agenesis
spellingShingle Junfeng Zhao
Yaqing Bao
Linglu Gong
Zhan Shi
Xiaoqiang Chen
Yan Li
Case Report: Diagnostic overlap of OHVIRA syndrome and Gartner duct cyst: challenges in imaging and management
Frontiers in Pediatrics
OHVIRA
Gartner duct cyst/GDC
ectopic ureter
oblique septum
renal agenesis
title Case Report: Diagnostic overlap of OHVIRA syndrome and Gartner duct cyst: challenges in imaging and management
title_full Case Report: Diagnostic overlap of OHVIRA syndrome and Gartner duct cyst: challenges in imaging and management
title_fullStr Case Report: Diagnostic overlap of OHVIRA syndrome and Gartner duct cyst: challenges in imaging and management
title_full_unstemmed Case Report: Diagnostic overlap of OHVIRA syndrome and Gartner duct cyst: challenges in imaging and management
title_short Case Report: Diagnostic overlap of OHVIRA syndrome and Gartner duct cyst: challenges in imaging and management
title_sort case report diagnostic overlap of ohvira syndrome and gartner duct cyst challenges in imaging and management
topic OHVIRA
Gartner duct cyst/GDC
ectopic ureter
oblique septum
renal agenesis
url https://www.frontiersin.org/articles/10.3389/fped.2025.1536314/full
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