Document Type : Case Report
Authors
- Tahereh Eftekhar 1
- Leila Pourali 2
- Zinat Ghanbari 1
- Maryam Deldar Pesikhani 1
- Hossein Chegini 3
- Ali Taghizadeh 4
- Elnaz Ayati 1
- Soodabeh Darvish 5
- Zahra Lotfi 6
1 Department of Obstetrics and Gynecology, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
2 Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
3 Interventional Radiologist, Tehran, Iran
4 Surgical Oncology Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
5 Department of Obstetrics and Gynecology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
6 BC in Midwifery, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Abstract
Background: Transverse vaginal septum is a rare mullerian anomaly. Patients with a complete transverse vaginal septum generally complain of primary amenorrhea. Here, we presented a rare case of high transverse vaginal septum with abdominal mass during infancy in addition to chronic pelvic pain and cyclic hematuria during adulthood.
Case presentation: The patient was a 26-year-old female with complain of severe abdominal and pelvic pain with significant weight loss. She had a history of surgery for correction of hydrometrocolpos (fluid accumulation in the uterus and vagina) because of transverse vaginal septum at infancy period. She had no gynecologic follow-up until the age of 26 years. At the last surgical evaluation, diffuse pelvic endometriosis with advanced metastatic colon cancer was noted.
Conclusion: After diagnosis of transverse vaginal septum during infancy period, detailed counseling should be performed about the other treatment and follow-up which is needed to prevent severe complications that could affect the quality of life.
Keywords
- Barber MD, Walters MD, Karram MM, Bradley C. Urogynecology and Reconstructive Pelvic Surgery. 5th London: Elsevier Health Sciences; 2015. p.49.
- Jones HW, Rock JA. TeLinde's Operative Gynecology. 11th Philadelphia: Wolters Kluwer Health; 2015. p.526.
- Mansouri R, Sander JC, Janzen NK, Dietrich JE. A Case of obstructed hemivagina with ectopic ureter leading to severe hydrocolpos and contralateral renal outflow tract obstruction in a neonate. J Pediatr Adolesc Gynecol 2015; 28(5):e131-3. doi: 10.1016/j.jpag.2014.10.008.
- Bischoff A, Levitt MA, Breech L, Louden E, Peña A. Hydrocolpos in cloacal malformations. J Pediatr Surg 2010; 45(6):1241-5. doi: 10.1016/j.jpedsurg.2010.02.097.
- Shaked O, Tepper R, Klein Z, Beyth Y. Hydrometrocolpos--diagnostic and therapeutic dilemmas. J Pediatr Adolesc Gynecol 2008; 21(6):317-21. doi: 10.1016/j.jpag.2007.12.011.
- Ramphul M, Perry L, Bhatia C. Neonatal imperforate hymen with hydrocolpos. BMJ Case Rep 2016; 2016:bcr2016215434. doi: 10.1136/bcr-2016-215434.
- Višnjić S, Bastić M, Marčec M, Mesić M. Short-term "double natural orifice catheterization": Nonoperative management of hydrocolpos in persistent cloaca patients - case series. J Pediatr Surg 2018; 53(4):718-21. doi: 10.1016/j.jpedsurg.2017.06.014.
- Mirzaei M, Daneshpajooh A. Urinary presentations of a posttraumatic vaginal septum in a 14-year-old girl. Turk J Urol 2018; 44(5):441-4. doi: 10.5152/tud.2018.28566.
- Dogan A, Uyar I, Demirtas GS, Ekin A, Gulhan I, Ertas IE, et al. Urinary incontinence in puberty: a rare clinical presentation of the herlyn-werner-wunderlich syndrome. J Pediatr Adolesc Gynecol 2016; 29(6):e101-3. doi: 10.1016/j.jpag.2016.07.013.
- Williams CE, Nakhal RS, Hall-Craggs MA, Wood D, Cutner A, Pattison SH, et al. Transverse vaginal septae: management and long-term outcomes. BJOG 2014; 121(13):1653-8. doi: 10.1111/1471-0528.12899.
)