A Surgical Emergency In Adolescent Girl – Concurrent Imperforate Hymen And High Transverse Vaginal Septum With Tense Hematocolpos
Journal Title: Malla Reddy Medical College For Women Journal Of Medical Sciences - Year 2018, Vol 1, Issue 2
Abstract
Rare Mullerian anomalies not falling into any present classification system are sometimes reported. This is one of the most infrequent anomalies of the female genital tract. A 15-year-old girl, not attained menarche, presented as severe cyclic lower abdominal and pelvic pain and mass per abdomen. After clinical and imaging examination, an imperforate hymen and a large hematocolpos along the middle part of the vagina was diagnosed. Further evaluation by MRI revealed a high vaginal cause of obstruction which cannot be differentiated as vaginal atresia or a combination of transverse vaginal septum and imperforate hymen. Incision of the imperforate hymen did not lead to drainage of blood or fluid. A complete high transverse vaginal septum in the upper third of the vagina was identified and when incised drained approximately 200 mL of a dense brownish fluid. Hysteroscopy revealed presence of normal uterus. Post-operative dilatation of vagina was done to prevent re-stenosis. This is a rare case of concurrent transverse vaginal septum and imperforate hymen without any other genitourinary anomalies in literature.
Authors and Affiliations
Anupama Hari
Keywords
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