Affiliations 

  • 1 Universiti Sultan Zainal Abidin, Kuala Terengganu, Malaysia
  • 2 Hospital Sultanah Nur Zahirah, Kuala Terengganu, Malaysia
  • 3 Hospital Sultanah Nur Zahirah, Kuala Terengganu, Malaysia drroziana@yahoo.com
BMJ Case Rep, 2024 Jul 30;17(7).
PMID: 39079904 DOI: 10.1136/bcr-2024-261142

Abstract

Transverse vaginal septum (TVS) is a rare obstructive genital tract anomaly. It is associated with primary amenorrhoea and typically presents with cyclical abdominal pain due to obstruction of the menstrual flow. Caudal regression syndrome (CRS) is also a rare congenital anomaly that is frequently associated with anomalies of the neurological, musculoskeletal, cardiac, genitourinary and gastrointestinal systems. Obstructive genital tract anomaly in CRS is exceptionally rare. This report describes the case of a girl in early adolescence with underlying CRS who presented with severe abdominal pain associated with primary amenorrhoea. Clinical and radiological assessment revealed 'haematocolpos' manifesting as a tender 20 weeks' size abdominal mass and an absent vaginal opening. TVS was identified during examination under anaesthesia. The patient subsequently underwent a successful vaginoplasty with no recurrence of symptoms after 2 years.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.