CASE REPORT article
Front. Pediatr.
Sec. Pediatric Urology
Volume 13 - 2025 | doi: 10.3389/fped.2025.1536314
Case report: Diagnostic overlap of OHVIRA syndrome and Gartner duct cyst: challenges in imaging and management
Provisionally accepted
- Ningbo University Affiliated Women and Children’s Hospital, Ningbo, China
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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.
Keywords: OHVIRA, Gartner duct cyst /GDC, Ectopic ureter, oblique septum, Renal agenesis
Received: 28 Nov 2024; Accepted: 05 May 2025.
Copyright: © 2025 Zhao, Bao, Gong, Zhan, Chen and Li. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Junfeng Zhao, Ningbo University Affiliated Women and Children’s Hospital, Ningbo, China
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