Vaginal Outlet Obstruction - A Review of Cases

Dobanovacki, Dusanka; Vuckovic, Nada; Marinkovic, Smiljana; Jokić, Radoica; Bukarica, Svetlana

doi:10.4172/2325-9728.s1-002

Cited by 3 publications

(3 citation statements)

References 31 publications

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“…After fusion, degeneration of epithelial cells at the central portion of the membrane occurs, thus forming the perforation. Failure of the recanalization process in the hymen to different degrees may lead to either obstructive (imperforate) or non‐obstructive (microperforate, cribriform, or septate) anomalies . Imperforate hymen results from complete failure of the degeneration of epithelial cells in the central portion of the hymen.…”

Section: Discussionmentioning

confidence: 99%

“…Failure of the recanalization process in the hymen to different degrees may lead to either obstructive (imperforate) or non-obstructive (microperforate, cribriform, or septate) anomalies. 2 Imperforate hymen results from complete failure of the degeneration of epithelial cells in the central portion of the hymen. It is usually asymptomatic prior to menarche and then presents as cyclical lower abdominal pain, cryptomenorrhea, or hematocolpos.…”

Section: Discussionmentioning

confidence: 99%

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Microperforate hymen presenting with incomplete abortion: A case report

Padhi

Tripathy

Sahu

2017

J of Obstet and Gynaecol

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A 20-year-old patient with 3 months of amenorrhea presented in the labor room with bleeding per vaginum and having experienced lower abdominal pain for 2 h. She had a history of difficult intercourse and prolonged menstrual flow. Inspection revealed a bleeding point over an obstructing membrane at the level of the vaginal introitus. Subsequent vaginal examination confirmed the diagnosis of microperforate hymen. Her urine pregnancy test was positive and an ultrasound examination revealed the presence of retained products of conception in the endometrial cavity. Hymenectomy was carried out to evacuate the retained products of conception and the margins of the hymen were sutured to prevent restenosis. The outcome was uneventful. This case study suggests that even though subocclusive hymenal anomalies, such as microperforate hymen, can interfere with normal vaginal intercourse, it does not lead to infertility and can permit pregnancy. Hence, awareness about this rare entity may lead to early detection and improvement in the patient's quality of life.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Microperforate hymen presenting with incomplete abortion: A case report

Padhi

Tripathy

Sahu

2017

J of Obstet and Gynaecol

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“…Although incidence of Mu¨llerian abnormalities is not low and cases of isolated defects of various types have been reported previously but the combination of anomalies as in present patient is unique. This suggests the need of careful pre-operative evaluation of the anomalies and individualization of the therapeutic approach to restore functional anatomy and reproductive potential (18,19).…”

Section: Discussionmentioning

confidence: 99%

Distal vaginal atresia misdiagnosed as imperforate hymen: A case managed by transperineal vaginal pull through (distal colpoplasty)

Awad

El-Agwany

2015

The Egyptian Journal of Radiology and Nuclear Medicine

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Three different types of vaginal outlet obstruction are described in the literature: imperforate, transversal vaginal septum and vaginal atresia. Diagnoses were made in different ages of life, from neonatal to the teenage years. Clinical and ultrasound examinations and MRI dominated in establishing the diagnosis. Complex malformations of female genital tract are not so common.Their correct identification is of paramount importance for appropriate management. A thorough knowledge of embryology, pre-operative imaging with MRI and examination under anaesthesia is essential to identify accurately the constellation of anomalies and to plan appropriate management. This case reports distal vaginal agenesis in an 13 year old girl which was managed by dissecting the lower half of vagina and pull-through vaginoplasty. Rarity and variable presentation of congenital genital tract anomalies can lead to delayed diagnosis and erroneous management. A high index of suspicion and cross-sectional imaging can help in early diagnosis. A comprehensive management is imperative to preserve the reproductive potentials, as significant proportion of patients may experience sexual difficulties, menstrual irregularity, and infertility.

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Microperforate Hymen Presenting as Tubo-Ovarian Abscess in Adulthood

Tan¹

2018

JSA

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Microperforate hymen is a rare vaginal anomaly that is usually reported in childhood due to recurrent urogenital infections. Unlike imperforate hymen where the presenting complaints are classical due to complete vaginal obstruction, the less profound and varied presentation of microperforate hymen may go unnoticed. We report a case of a 39-year-old, with a background history of amenorrhea, who presented with acute abdomen suggestive of tuboovarian abscess, and was finally diagnosed to have microperforate hymen. She underwent hymenectomy to correct the anomaly. To our knowledge, this is the oldest age of presentation of a congenital form of microperforate hymen. A high index of suspicion and early detection of microperforate hymen and properly timed intervention is essential to prevent acute symptoms and long term detrimental sequalae to women's reproductive and psychosexual health.

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Vaginal Outlet Obstruction - A Review of Cases

Cited by 3 publications

References 31 publications

Microperforate hymen presenting with incomplete abortion: A case report

Microperforate hymen presenting with incomplete abortion: A case report

Distal vaginal atresia misdiagnosed as imperforate hymen: A case managed by transperineal vaginal pull through (distal colpoplasty)

Microperforate Hymen Presenting as Tubo-Ovarian Abscess in Adulthood

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