Distal Vaginal Atresia with Spontaneous Perforation: A Case Report
| Autor: | Melina Dendrinos, Olivia K. Winfrey, Anastasia L. Hryhorczuk, Elisabeth H. Quint, Y. Frances Fei |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Vaginal Obstruction business.industry Spontaneous Perforation Obstetrics and Gynecology General Medicine medicine.disease Introitus Surgery medicine.anatomical_structure Vaginal atresia Pediatrics Perinatology and Child Health medicine Vagina Vaginoplasty Vaginal bleeding medicine.symptom business |
| Zdroj: | Journal of Pediatric and Adolescent Gynecology. 35:383-386 |
| ISSN: | 1083-3188 |
| DOI: | 10.1016/j.jpag.2021.10.018 |
| Popis: | Background : The definitive treatment of distal vaginal atresia is surgery, but menstrual suppression is often helpful for initial management. Case : A 13-year-old presented with primary amenorrhea and progressive abdominal pain. She was diagnosed with distal vaginal atresia and started on hormonal suppression. She then re-presented with heavy vaginal bleeding and follow-up imaging revealed spontaneous perforation had occurred. There was now evidence of a tract leading from the obstructed vaginal bulge to the introitus. Vaginoplasty was complicated by the tortuosity of the tract. Under ultrasound guidance, a pull-through vaginoplasty was performed. Summary and Conclusion : Spontaneous perforation of an atretic vagina is rare, but in such cases, urgent vaginoplasty is indicated to prevent infection. Despite the presence of a spontaneous tract leading to the obstruction, vaginoplasty can be complex, and intra-operative ultrasound may be beneficial. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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