Oli, Saurav SenSapkota, ShovaBajagain, RupaSaha, RachanaPaudel, Suman2025-08-152025-08-152024https://hdl.handle.net/20.500.14572/1596Saurav Sen Oli Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal. Shova Sapkota Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal. Rupa Bajagain Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal. Rachana Saha Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal. Suman Paudel Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.Abstract Herlyn-Werner-Wunderlich Syndrome is a very rare congenital malformation of the urogenital tract involving both the Mullerian and Wolffian ducts characterized by the triad uterine diadelphys, obstructed vagina, and unilateral renal agenesis. If not diagnosed on time it may progress to adverse gynecological complications making timely diagnosis and treatment crucial. We hereby present a 14-year girl with right flank pain diagnosed as Herlyn-Werner-Wunderlich Syndrome by ultrasound scan which was managed surgically with drainage of hydrocolpos and marsupialization of vaginal septum. On two weeks follow up patient had symptomatic improvement with no any complications.en-USOther