Transvaginal Excision of Transverse Vaginal Septum in Children
|Mohammed A Jouda*, A M Obaideen, Mohammed Zayed and Hossam Hamdy|
|University Hospital Sharjah, P.O Box 72772 Sharjah, UAE|
|Corresponding Author :||Mohammed A Jouda
General Surgeon, University Hospital Sharjah
P.O Box 72772 Sharjah, UAE
E-mail: [email protected]
|Received May 20, 2013; Accepted September 23, 2013; Published September 25, 2013|
|Citation: Jouda MA, Obaideen AM, Zayed M, Hamdy H (2013) Transvaginal Excision of Transverse Vaginal Septum in Children. J Clin Case Rep 3:302. doi:10.4172/2165-7920.1000302|
|Copyright: © 2013 Jouda MA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Congenital anomalies of the female genital tract are often asymptomatic and therefore unrecognized. They usually present at adolescent with abdominal pain at the time of menarche. This is a report of two teen aged girls who presented to the University Hospital-Sharjah (UHS) complaining of recurrent attacks of cyclical lower abdominal pain which comes within the premenstrual periods and fades after menses. They were investigated and managed in other hospitals with no improvement. The two patients were diagnosed by trans-abdominal and trans-perineal pelvic U/S in addition to MRI studies which confirmed the diagnosis of didelphys uterus with an obstructing transverse vaginal septum leading to hematocolpos and hematometrocolpos in addition to the presence of an ipsilateral renal agenesis.
Per-operative hysteroscopy was valuable in identification of the abnormal anatomy. The technique of transvaginal surgical excision of the septum in both cases with attempt to preserve the hymen in addition to the problems in diagnosis and management of these rare anomalies are discussed.