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PEMPix 2023 Online Case 1: A House Divided

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She was diagnosed with constipation. The family declined an enema in the ED, and she was discharged home on a miralax cleanout to follow up with her PCP. The patient was diagnosed with OHVIRA syndrome: O bstructed H emi v agina with I psilateral R enal A nomaly (aka Heryln-Wener-Wunderlch syndrome). 2012 Jan;5(1):67-70.

PCP 69