Transverse Vaginal Septum: A Rare Cause of Primary Amenorrhea: Case Report
نویسندگان
چکیده
Genital outflow tract obstruction is a rare cause of primary amenorrhea. A transverse vaginal septum is a defect of vertical fusion between the para-mesonephric ducts and uro-genital sinus. If the septum is complete, the menstrual flow will be obstructed causing primary amenorrhea. The septum is basically a membrane of fibrous connective tissue with both vascular and muscular components formed anywhere along the vagina during embryological development. We present a case of 14-year old female who presented with intermittent, colicky abdominal pain. There was no history of attainment of menarche. The clinical examination revealed a small, blind ending lower vagina with a tough transverse membrane separating the lower portion from the upper genital tract and a firm, tender, bimanually palpable mobile mass in the suprapubic region. The ultrasound examination revealed an hourglass shaped collection with internal echoes within the endometrial cavity extending into the upper vagina. The magnetic resonance imaging of pelvis confirmed the presence of haematometra with hematocolpos in upper 2/3 of the vagina.
منابع مشابه
P-196: Atypical Presentations of Primary Amenorrhea with Multifactorial Etiologies, Hypothalamic Amenorrhea with Transverse Vaginal Septum No Hematocolpos: A Case Report
Background: Patients with a transverse vaginal septum generally present at the age of menarche with complain of cyclic pelvic or abdominal pain due to retention of blood above the obstruction. In the absence of menstruation this women did not have typical hematocolpos. Materials and Methods: A rare case of hypothalamic amenorrhea and transverse vaginal septum were reported. A 28- year-old woman...
متن کاملA Rare Case of Primary Amenorrhea with Two Etiologies, Hypothalamic Amenorrhea, Transverse Vaginal Septum, and No Hematocolpos
We reported a rare case of hypothalamic amenorrhea and transverse vaginal septum. A 28-year-old woman presented with primary amenorrhea and no complaint of abdominal pain. Laparoscopy revealed a small rudimentary uterus with streak ovaries and a vaginal pouch. The patient with diagnosis of Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome was subjected to a vaginoplasty in another fertility center...
متن کاملHuge abdominal mass secondary to a transverse vaginal septum and cervical dysgenesis.
Transverse vaginal septum is a rare occurrence. When it co-exists with cervical dysgenesis, it is even rarer. Primary amenorrhea with cyclic pain is one manifestation in post-pubertal women. A case of transverse vaginal septum with vaginal atresia and cervical dysgenesis is presented. Presentation as a huge abdominal mass and severe anaemia posed diagnostic challenges. A two-staged management i...
متن کاملPrimary amenorrhea with transverse vaginal septum and scant hematocolpos: A case report
Background: A genital outflow tract obstruction is an uncommon cause of primary amenorrhea. If ovulation occurs, menstrual bleeding is prevented. Patients typically present with abdominal/pelvic pain due to hematocolpos. Absence of significant hematocolpos could indicate a secondary source of primary amenorrhea and be challenging to the clinical diagnosis. Case: 17 year-old patient with primary...
متن کاملDouble mucosal flap for the reconstruction of transverse vaginal septum – A novel surgical approach using the vaginal septal tissue
Transverse vaginal septum is a congenital anomaly typically undiagnosed until menarche. Although the majority of such septa occur at the junction of the middle and upper thirds of the vagina, transverse vaginal septummay be found at any vaginal level (Fig.1). A complete transverse septum will block menstrual flow and is a cause of primary amenorrhea and hematocolpus accompaniedwith cyclic abdom...
متن کامل