Management of a transverse vaginal septum complicated with hematocolpos in an adolescent girl: Case report

Moussaoui, Kamal El; Lakhdar, Amina; Baidada, Aziz

doi:10.1016/j.ijscr.2020.11.098

Cited by 15 publications

(20 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Clinical presentation of complete transverse vaginal septum in our cases was similar, adolescence with cyclic lower abdominal pain and primary amenorrhea as the main symptom. Cyclic pelvic pain in complete transverse vaginal septum commonly found in teenage [5] . The onset of pain varied from several month to one year.…”

Section: Discussionmentioning

confidence: 99%

Case series: Interdigitating “Y” flap for transverse vaginal septum management

Priyatini

Moegni

Hidayah

et al. 2022

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Case series: Interdigitating “Y” flap for transverse vaginal septum management

Priyatini

Moegni

Hidayah

et al. 2022

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

“…To avoid this, they proposed routinely postoperative vaginal dilation. 10 In this case, the use of the Bakri catheter in the second attempt to solve the stenosis was an innovative step and required cooperation with the adult gynecologist. Bakri catheters are usually indicated to stop postpartum hemorrhages.…”

Section: Endoscopic Treatment Of a Severe Vaginal Stenosis Guana Et A...mentioning

confidence: 99%

“…Kamal et al underlined that vaginal re-stenosis at the resection site remains the most common surgical complication. To avoid this, they proposed routinely postoperative vaginal dilation (10).…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Endoscopic Treatment of a Severe Vaginal Stenosis Following Battery Insertion in an 11-Year-Old Girl

Guanà

Carpino

Garbagni

et al. 2022

European J Pediatr Surg Rep.

View full text Add to dashboard Cite

Acquired vaginal strictures are rare entities in children. As a result, they are generally difficult to manage and tend to recur despite appropriate initial therapy. This case study reports the staged management of a vaginal stenosis following the insertion of a button battery. In this case, an 11-year-old girl experienced at 4 years old a battery insertion in the vaginal canal by her neighbour’s son, who was 6-year-old at the time. Two weeks from insertion, the parents noted the foreign body discharge spontaneously. The girl had not complained of any symptoms at the time and had been asymptomatic for many years. In November 2020, she came to the ED reporting cramping abdominal pain accompanied by mucopurulent discharge. An abdominal US showed the presence of hematometrocolpos, and a vaginal stenosis dilation under general anaesthesia was performed the following day. After three weeks, the stenosis was still present, preventing the passage of a Hegar number 4. The girl was subjected to a vaginoscopic stenosis resection utilizing a monopolar hook passed through an operative channel. A Bakri catheter filled with 120 ml of water was left in place. After 10 days, the girl was discharged home with the Bakri inserted. Two weeks after discharge, she was re-evaluated in the outpatient setting, where the Bakri was removed with no signs of residual stenosis. Acquired vaginal stenosis could be demanding to treat, particularly with the sole conservative approach. A first-line option can be Hegar dilation. The endoscopic approach can be a second-line, minimally invasive treatment, but long-term outcomes are difficult to predict.

show abstract

“…Most commonly seen in lower part (72%) followed by central part (22%) and upper part of vagina (6%). 5 Transverse vaginal septum occurs due to the failure of canalization of the vaginal plate which is formed by the fusion of urogenital sinus and sinovaginal bulbs at mullerian tubercle. 6 This lack of canalization results in the pooling of blood in vagina after child reaching her puberty and have her first menses, this condition is called hematocolpos.…”

Section: Introductionmentioning

confidence: 99%

Lower Transverse Vaginal Septum with Hematocolpos: A Case Report

Kothawar¹,

Kowtha²,

Balaprabha³

2022

J Young Pharm

View full text Add to dashboard Cite

Hematocolpos is a medical condition in which the vagina is pooled with menstrual blood. It is caused mainly 4 reasons Imperforated hymen, Cervical atresia, Vaginal atresia and Transverse vaginal septum. Transverse vaginal septum is also a congenital defect where extra horizontal wall of tissue that is formed during embryological development creates a blockage in the vagina. A 14-year-old patient was admitted in the Tertiary Care Hospital who previously underwent a surgery for hematocolpos in a private hospital with the complaints of inability to pass urine, localized cyclical pain. Local examination revealed the absence of vaginal orifice, mass was felt through anterior wall, bluish hue was observed at the introitus. Ultrasonography revealed the presence of hematocolpos, and MRI revealed presence of Transverse Vaginal Septum. Patient was initially stabilized by treating the pain and later planned for surgery, where incision and drainage of Hematocolpos with marsupialization and 100 ml of bold was collected and condom was introduced into the vaginal cavity after marsupialization.

show abstract

Management of a transverse vaginal septum complicated with hematocolpos in an adolescent girl: Case report

Abstract: Highlights Hematocolpos remains the main consequence of the transversal septums of vagina. The management of transversal septum of vagina is essentially based on surgery. The risk of vaginal stenosis after surgery remains high.

Cited by 15 publications

References 12 publications

Case series: Interdigitating “Y” flap for transverse vaginal septum management

Case series: Interdigitating “Y” flap for transverse vaginal septum management

Endoscopic Treatment of a Severe Vaginal Stenosis Following Battery Insertion in an 11-Year-Old Girl

Lower Transverse Vaginal Septum with Hematocolpos: A Case Report

Contact Info

Product

Resources

About