Multimodality Imaging and Management of OHVIRA Syndrome: A Case from Diagnosis to Successful Pregnancy

A 24-year-old female presenting with primary infertility was diagnosed with OHVIRA syndrome, a rare congenital anomaly involving uterine didelphys, obstructed hemivagina, and ipsilateral renal agenesis. Multimodal imaging, including ultrasound and MRI, confirmed the diagnosis. Surgical correction led to remarkable outcomes, with the patient achieving spontaneous conception within six months. This case emphasizes the critical role of early diagnosis, targeted surgical intervention, and radiological follow-up in managing OHVIRA syndrome and preserving fertility.