China
Africa
Explore chapters and articles related to this topic
Pediatric Hematocolpos
Published in Botros Rizk, A. Mostafa Borahay, Abdel Maguid Ramzy, Clinical Diagnosis and Management of Gynecologic Emergencies, 2020
Omar M. Abuzeid, Mostafa I. Abuzeid
Transverse vaginal septum is a rare obstructive anomaly of the vagina. It was first described by Delaunay in 1877 [23]. Its incidence was reported to vary between 1 per 7000 and 1 per 84,000 [2, 7, 8]. Although transverse vaginal septum has been described to be genetically linked with autosomal recessive inheritance, most cases of this anomaly are multifactorial in nature [24]. Transverse vaginal septum can be associated with genitourinary tract anomalies, musculoskeletal defects, gastrointestinal tract anomalies, and rarely, coarctation of the aorta and atrial septal defect [25, 26]. The transverse septum thickness varies; some are thick while others are thin in nature. Transverse vaginal septum can occur anywhere along the vaginal canal, but it is usually located in the upper or middle third of the vagina (Figure 17.2).
Gynecological Developmental Abnormalities
Published in Linda Cardozo, Staskin David, Textbook of Female Urology and Urogynecology - Two-Volume Set, 2017
Melissa C. Davies, Sarah M. Creighton
necessitAtes the removAl of the horn, which mAy be cArried out lApAroscopicAlly (see Figure 113.4) [36]. PresentAtion As An Adolescent cAn be delAyed As the presence of normAl menstruAtion from the unobstructed side leAds to A low index of suspicion. removAl of the horn is essentiAl to treAt pAin but Also As pregnAncy mAy occur within the horn [37]. There hAve been reports of removAl of pregnAnt uterine horns, And in this situAtion the risks Are greAter As the pregnAnt uterus is A more vAsculAr structure. It is essentiAl to obtAin renAl imAging such As preoperAtive intrAvenous pyelogrAm (IvP) As up to 30% will hAve AssociAted renAl trAct AnomAlies [38]. Furthermore, it is suggested thAt the stAndArd treAtment of cAses such As these should include fetocide And methotrexAte; this in Addition to gonAdotropin-releAsing hormone would Allow A sAfer ApproAch to the lApAroscopic removAl of the uterine horn. The obstetric outcomes in subsequent pregnAncies of this group of pAtients Are better thAn expected. In A lArge cohort of 120 consecutive femAles with A diAgnosis of unicornuAte uterus hAving A totAl of 341 pregnAncies, the live birth rAte wAs reported As 72.1% (227/315), with A preterm birth rAte of 18.5% [39]. Didelphic uterus is often AssociAted with A hemivAginA, or A vAginAl septum of vArying degree, And possible duplicAted kidneys or renAl Agenesis. It is thought to Account for 10% of All uterine AnomAlies. Absent Cervix CongenitAl Absence of the cervix is A rAre condition And occurs in 1 in 80,000–100,000 births [40]. It is known to be AssociAted with vAginAl AplAsiA, both pArtiAl And complete, And renAl AnomAlies. In A recent retrospective review of 18 pAtients, 39% hAd AssociAted vAginAl AplAsiA. [41]. PresentAtion is usuAlly with primAry AmenorrheA And cyclicAl lower AbdominAl pAin. endometriosis or pelvic infection mAy result from the chronic hemAtometrA. The differentiAl diAgnosis includes high trAnsverse vAginAl septum, And in some cAses, the ActuAl diAgnosis mAy not be cleAr until surgery.
The accuracy of three-dimensional ultrasonography in the diagnosis of Müllerian duct anomalies and its concordance with magnetic resonance imaging
Published in Journal of Obstetrics and Gynaecology, 2022
Yasin Ertug Cekdemir, Uygar Mutlu, Demet Acar, Canan Altay, Mustafa Secil, Omer Erbil Dogan
The ESHRE/ESGE consensus, which provides objective parameters for classification of uterine anomalies, permits 3D-US to discriminate various types of MDAs (Graupera et al. 2015). On the other hand, some problems occurred in the diagnosis of MDAs with respect to the ESHRE/ESGE consensus compared with the ASRM classification (Ludwin et al. 2014). Compared to ASRM classification, ESHRE/ESGE classification system provides additional information about the vagina and the uterine cervix. In ESHRE/ESGE consensus, arcuate uterus (class 6) and partial septate uterus (class 5B) in ASRM classification are integrated as U2A. Similarly, class 2 morphology in ASRM classification has been expressed as U4 in ESHRE/ESGE classification (Ludwin and Ludwin 2015). Since the vagina is not routinely included in ASRM classification (Knez et al. 2018); the term ‘isolated transverse vaginal septum’ was used for case no. 25 in Table 3. The corresponding clinical definition for this entity in ESHRE/ESGE classification is V3.
MRI image features and differential diagnoses of Herlyn–Werner–Wunderlich syndrome
Published in Gynecological Endocrinology, 2020
Jinlong Zhang, Shengfang Xu, Lei Yang, Yue Songhong
The main differential diagnosis is transverse vaginal septum [24–27]. This is caused by abnormal vertical fusion of the gyneduct, and the incidence of transverse septum in congenital vaginal dysplasia is very low. The transverse septum can be incomplete or complete; an imperforated vaginal septum is termed a complete translucent, and a septum with a small hole is termed an incomplete septum. The clinical manifestations are similar to those of congenital vaginal atresia. The thickness of the diaphragm varies and is usually less than 1 cm. A transverse vaginal septum can occur at any area of the vagina, with the upper part being the most common, typically without other genitourinary malformations. MRI normally shows the dilatation of the genital tract above the transverse septum, the expansion of the uterine cavity and the upper and middle vagina, abnormal transverse signal in the lower segment, and the low signal shadow on T2WI. The length and thickness of the transverse vaginal septum can also be measured by MRI.
Asymptomatic microperforated transverse vaginal septum
Published in Journal of Obstetrics and Gynaecology, 2022
Marilia Freixo, Elisa Soares, Maria Liz Coelho, Ana Rita Pinto, Cristina Oliveira
A 27-year-old nulliparous woman attended a gynaecological routine assessment. She had no medical or surgical relevant past. She reached menarche at the age of 14. She reported a regular menstrual cycle of 5 − 6/30 days, changing pads twice a day, and had no history of clots or dysmenorrhoea. On examination, the vagina was blind and shortened with a pin hole opening in the centre (2–3 mm) and the cervix could not be identified (Figure 1). Based on clinical examination findings, a provisional diagnosis of transverse vaginal septum was made.