Author:
LOUKILI Najwa,CHIMI Hanae,Fatima HASSOUNI Amal BENCHINE,EL YOUSFI Mounia,BARGACH Samir
Abstract
Congenital vaginal atresia is an uncommon developmental defect in the female reproductive system. In this review, we discuss a rare case involving a 19-year- old woman who presented with primary amenorrhea and recurrent pelvic pain. Upon clinical evaluation, a cup-shaped structure was noted in place of the vaginal opening. Imaging studies, including ultrasound and MRI, revealed a complete vaginal atresia along with a right unicornuate uterus, a non-functional rudimentary left horn, and significant accumulation of menstrual blood in the uterus. Diagnosed with vaginal aplasia and an abnormal uterus, the patient consented to undergo a subtotal hysterectomy, with preservation of the adnexa. Congenital vaginal atresia generally presents with primary amenorrhea and chronic pelvic pain. Diagnosis involves a thorough clinical assessment coupled with imaging techniques, where MRI plays a key role in determining the severity of the atresia and informing the surgical strategy. The goal of surgery is to restore the integrity of the utero-vaginal tract and improve reproductive outcomes for those affected. Subject Areas:- Gynecology – Obstetric
Publisher
International Journal of Innovative Science and Research Technology
Reference58 articles.
1. Moore KL, Persaud TVN, Torchia MG. The Developing Human: Clinically Oriented Embryology. Netherlands: Elsevier Press. 2013; 9th ed:271-273.
2. J. E. Dietrich, D. M. Millar, et E. H. Quint, « Obstructive reproductive tract anomalies », J. Pediatr. Adolesc. Gynecol., vol. 27, no 6, p. 396–402, d ́ec. 2014.
3. ACOG Committee Opinion No 355: Vaginal agenesis: diagnosis, management, and routine care. Obstet Gynecol. 2006;108.
4. Michala L, Cutner A, Creighton S. Surgical approaches to treating vaginal agenesis. BJOG. 2007;114:1455-9.PubMed.
5. Rall K, Eisenbeis S, Henninger V, Henes M, Wallwiener D, Bonin M et al. Typical and Atypical Associated Findings in a Group of 346 Patients with Mayer-RokitanskyKuester-Hauser Syndrome. J Pediatr Adolesc Gynecol. 2015;28:362-8.
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献