Congenital uterine anomaly with concurrent longitudinal and transverse vaginal septa: Presentation of two Cases.

IF 1.7 4区医学 Q3 OBSTETRICS & GYNECOLOGY

Journal of pediatric and adolescent gynecology Pub Date : 2025-01-30 DOI:10.1016/j.jpag.2025.01.171

Aikaterini-Gavriela I Giannakaki, Dimitris Baroutis, Andreas Kalampalikis, Lina Michala

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Abstract

Introduction: Didelphic and septate uterus are congenital uterine anomalies caused by the failure of fusion of the Mullerian ducts or resorption of the median septum post-fusion respectively. These can occasionally be associated with a longitudinal vaginal septum. The combination with a transverse vaginal septum is rare, leads to menstrual obstruction, and presents with severe abdominal pain in early adolescence.

Cases: We present the cases of two 12-year-old girls, presenting with a uterine anomaly and concomitant longitudinal vaginal septum and haematocolpos due to the presence of a transverse vaginal septum.

Discussion/conclusion: Congenital uterine anomalies can coexist with a longitudinal septum and rarely with a transverse vaginal septum causing obstruction. Early diagnosis and surgical correction of transverse vaginal septum are decisive for the relief of symptoms and the prevention of future complications. Physicians should always consider the presence of complex congenital anomalies in cases of menstrual obstruction. The coexistence of uterine and vaginal anomalies in this study are not adequately described by the existing classification systems, underlining the need for a more inclusive classification system.

Categories: Obstetrics & Gynecology, Pediatrics, Pediatric & Adolescent Gynecology.

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来源期刊

Journal of pediatric and adolescent gynecology 医学-妇产科学

CiteScore

3.90

自引率

11.10%

发文量

251

审稿时长

57 days

期刊介绍： Journal of Pediatric and Adolescent Gynecology includes all aspects of clinical and basic science research in pediatric and adolescent gynecology. The Journal draws on expertise from a variety of disciplines including pediatrics, obstetrics and gynecology, reproduction and gynecology, reproductive and pediatric endocrinology, genetics, and molecular biology. The Journal of Pediatric and Adolescent Gynecology features original studies, review articles, book and literature reviews, letters to the editor, and communications in brief. It is an essential resource for the libraries of OB/GYN specialists, as well as pediatricians and primary care physicians.