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Case Reports
. 2023 Feb 6;15(2):e34673.
doi: 10.7759/cureus.34673. eCollection 2023 Feb.

An Atypical Cause of Primary Amenorrhea: A Case Report of Rare Vaginal Agenesis

Affiliations
Case Reports

An Atypical Cause of Primary Amenorrhea: A Case Report of Rare Vaginal Agenesis

John P Petrykowski et al. Cureus. .

Abstract

Vaginal agenesis is part of a group of anomalies, referred to as Mullerian anomalies due to their embryologic origin, in which there is a congenital absence of the vagina. We present a unique case in which a 20-year-old female presented to the Emergency Department with cyclical abdominal pain and primary amenorrhea. The original assessment showed a probable imperforate hymen; however, it was later found that she likely had vaginal agenesis. Vaginal agenesis is a rare disease, but it is prevalent enough that it should be kept at the forefront of the differential diagnosis in a woman with primary amenorrhea and recurring pain. We also highlight the importance of patient education in general, but categorically to sexual health.

Keywords: case report; imperforate hymen; mayer-rokitansky-kuster-hauser; mullerian agenesis; primary amenorrhea; vaginal agenesis.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Coronal view of abdomen and pelvis.
Figure 2
Figure 2. Coronal view of abdomen and pelvis.
Figure 3
Figure 3. Sagittal view of abdomen and pelvis.
Figure 4
Figure 4. Axial view of the abdomen.
Figure 5
Figure 5. Complete pelvic ultrasound; view of the uterus.
Figure 6
Figure 6. Complete pelvic ultrasound; view of the left adnexa.
Figure 7
Figure 7. A) Normal vaginal anatomy hemipelvis. B) Vaginal agenesis of the lower vagina with retained blood products and normal external vaginal anatomy hemipelvis. Illustration by Ashley Calise.

References

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