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Case of early postoperative adhesion in a patient with molimina due to transverse vaginal septum concomitant with imperforate hymen.
- Source :
-
The journal of obstetrics and gynaecology research [J Obstet Gynaecol Res] 2015 Jul; Vol. 41 (7), pp. 1141-4. Date of Electronic Publication: 2015 Mar 15. - Publication Year :
- 2015
-
Abstract
- Transverse vaginal septum is a residual vaginal plate composed of the Müllerian duct and urogenital sinus. Imperforate hymen results from failure of perforation of the membrane between the urogenital sinus and vaginal cavity. We report a rare case of concurrence of these two conditions. A 16-year-old girl had been treated with puncture several times for hematometra and hematocolpos from 13 years of age because of monthly occurrence of lower abdominal pain without menstrual bleeding and was referred to our hospital. Magnetic resonance imaging demonstrated hematometra, hematocolpos and expansion of the vaginal fornix. The imperforate hymen was incised and a slight adhesion at the lower vaginal cavity was detached. After that, a complete transverse vaginal septum, which was 5 mm thick, was identified. It was excised after ultrasonography-guided puncture. Although two cycles of menstrual bleeding took place, molimina recurred. Re-operation was performed 6 months after the first operation, and recurrence of adhesion in the lower vaginal cavity was identified. A silicon dilator was inserted, but she could not use it at home and instead used a tampon. Cyclic menstrual bleeding is observed 4 months after the second operation.<br /> (© 2015 The Authors. Journal of Obstetrics and Gynaecology Research © 2015 Japan Society of Obstetrics and Gynecology.)
- Subjects :
- Abdominal Pain etiology
Abdominal Pain prevention & control
Abnormalities, Multiple physiopathology
Adolescent
Amenorrhea etiology
Amenorrhea prevention & control
Congenital Abnormalities
Dilatation
Female
Hematocolpos etiology
Hematocolpos prevention & control
Hematometra etiology
Hematometra prevention & control
Humans
Hymen physiopathology
Hymen surgery
Japan
Menstrual Hygiene Products
Menstruation Disturbances physiopathology
Mullerian Ducts abnormalities
Postoperative Complications prevention & control
Postoperative Complications surgery
Recurrence
Reoperation adverse effects
Tissue Adhesions prevention & control
Tissue Adhesions surgery
Treatment Outcome
Vagina abnormalities
Abnormalities, Multiple surgery
Hymen abnormalities
Menstruation Disturbances surgery
Mullerian Ducts surgery
Postoperative Complications etiology
Punctures adverse effects
Tissue Adhesions etiology
Vagina surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1447-0756
- Volume :
- 41
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- The journal of obstetrics and gynaecology research
- Publication Type :
- Academic Journal
- Accession number :
- 25771822
- Full Text :
- https://doi.org/10.1111/jog.12669