{"title":"Diagnosis of congenital oblique vaginal septum syndrome: A case report and literature review.","authors":"Guangquan Guo, Mengling Li, Xin Hang, Yina Jiang","doi":"10.1016/j.ijscr.2024.110451","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>This report details a case of Type I oblique vaginal septum syndrome (OVSS), highlighting its complexity as a congenital uterine malformation.</p><p><strong>Case presentation: </strong>A 12-year-old girl presented with severe lower abdominal pain coinciding with her first menstrual period. Ultrasound revealed a septate uterus and an oblique vaginal septum, prompting an emergency hysteroscopic procedure that confirmed the diagnosis of Type I OVSS.</p><p><strong>Discussion: </strong>OVSS is a rare urogenital anomaly often diagnosed during adolescence. Common symptoms include abdominal pain, abdominal masses, and irregular vaginal bleeding. Due to its atypical presentation, OVSS is frequently misdiagnosed. Early surgical intervention is crucial to relieve pain and restore normal uterine morphology.</p><p><strong>Conclusion: </strong>Diagnosing OVSS can be challenging, but early detection is vital to prevent complications such as retrograde menstruation and long-term issues.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"124 ","pages":"110451"},"PeriodicalIF":0.6000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530609/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Surgery Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.ijscr.2024.110451","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/10/15 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: This report details a case of Type I oblique vaginal septum syndrome (OVSS), highlighting its complexity as a congenital uterine malformation.
Case presentation: A 12-year-old girl presented with severe lower abdominal pain coinciding with her first menstrual period. Ultrasound revealed a septate uterus and an oblique vaginal septum, prompting an emergency hysteroscopic procedure that confirmed the diagnosis of Type I OVSS.
Discussion: OVSS is a rare urogenital anomaly often diagnosed during adolescence. Common symptoms include abdominal pain, abdominal masses, and irregular vaginal bleeding. Due to its atypical presentation, OVSS is frequently misdiagnosed. Early surgical intervention is crucial to relieve pain and restore normal uterine morphology.
Conclusion: Diagnosing OVSS can be challenging, but early detection is vital to prevent complications such as retrograde menstruation and long-term issues.
导言:本报告详细介绍了一例 I 型阴道斜隔综合征(OVSS)病例,强调了其作为先天性子宫畸形的复杂性:一名 12 岁女孩在月经初潮时出现剧烈下腹痛。超声波检查发现子宫有隔膜和阴道斜隔,于是紧急进行了宫腔镜手术,确诊为 I 型 OVSS:OVSS是一种罕见的泌尿生殖系统畸形,通常在青春期被诊断出来。常见症状包括腹痛、腹部肿块和不规则阴道出血。由于表现不典型,OVSS 经常被误诊。早期手术治疗对缓解疼痛和恢复正常子宫形态至关重要:诊断OVSS可能具有挑战性,但早期发现对于预防逆行性月经等并发症和长期问题至关重要。