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Case Reports
. 2020 Sep 17:37:69.
doi: 10.11604/pamj.2020.37.69.21682. eCollection 2020.

Congenital vaginal atresia: about an uncommon case

Aziz Slaoui  1   2 , Intissar Benzina  1 , Sarah Talib  2 , Amina Etber  1 , Najia Zeraidi  1 , Amina Lakhdar  1 , Aicha Kharbach  2 , Aziz Baydada  1
Affiliations
Case Reports

Congenital vaginal atresia: about an uncommon case

Aziz Slaoui et al. Pan Afr Med J. .

Abstract

Congenital vaginal atresia is a rare congenital abnormality of the female reproductive tract due to a failure of canalisation in the urogenital sinus. We report the uncommon case of a 14-year-old girl with a primary amenorrhea associated to a cyclical pelvic pain, in whom examination objectified a vaginal cup that replaced the introitus. Ultrasound examination and magnetic resonance imaging (MRI) revealed atresia of the lower third of the vagina. The diagnosis of partial vaginal aplasia on functional uterus was retained, the patient had a perineal vaginoplasty. The evolution was satisfactory with regular cycles and improvement of pelvic pain. The decline is three years. Congenital vaginal atresia is a rare malformation classically and clinically pictured as a primary amenorrhea with chronic cyclic pelvic pain. Diagnosis is based on clinical examination and imaging. The MRI is designed to assess the importance of atresia and guide surgical management while the surgical technique aims to restore the integrity of the utero-vaginal tract and to increase the possibility of pregnancy for these patients.

Keywords: Congenital vaginal atresia; hematometrocolpos; vaginoplasty.

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Conflict of interest statement

The authors declare no competing interets.

Figures

Figure 1
Figure 1
ultrasound appearance of the hematometrocolpos extending to the upper third of the vagina
Figure 2
Figure 2
MRI appearance in T2 sequence of vaginal atresia with hematometrocolpos
Figure 3
Figure 3
per-operative image of the drained hematometrocolpos
Figure 4
Figure 4
per-operative image of the hysterometer through the neovagina
See this image and copyright information in PMC

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