1. Herlyn Werner Wunderlich Syndrome Diagnosed Through Pelvic Abscess

2. Introduction
It is hard to diagnose Mullerian Anomalies since they are frequently asymptomatic
It was seen 24% of women in reproduction age
These patients in general refer to the hospital with stomach pain after menarche together with dysmenorrhea or amenorrhea

3. Herlyn Werner Wunderlich Syndrome is very rare case seen together with uterus didelphis, ipsilateral renal agenesis, and blind hemivagina
Difficulty of diagnosis would result even to abscess instances occur in abdomen following hematocolpos

4. Case A 17 years old patient admitted to the hospital with stomach pain
Her menstruations started at age of 12 with regular periods
She was experiencing pain during her periods for last 2 years

5. We have observed tuboovarian abscess on left adnexal region at her abdominal ultrasonography
At abdominal magnetic resonance, we have monitored 13 cm right adnexa based tubooveian abscess and 6 cm left adnexa based abscess

6. In addition, we did not observe left kidney during uterus didelphys
In her pelvic examination, her vaginal length was normal
Antibiotic treatment was began as her CRP value was 19 and we have planned the operation

7. During the operation, we have observed that bowel attached to the back of uterus
After separation, we have observed right over and tuba were normal
We have monitored 12 cm left adnexa based cist

8. We have cleaned abscess material in it
We have not observed left over and tuba
We have taken out cist on left adnexa completely
We have put dren and closed the abdomen
Later, we have performed vaginal examination

9. We have observed vaginal cavity containing puss on vaginal front wall, which was obliterated and separated from transvers septum
We have extracted tissue between two vaginas
We have observed two cervix during examination

10. Result
To examine patients with ultrasonography is important to make early diagnosis and to design the treatment accordingly