Published May 31, 2023 | Version v1

RECURRENTHEMATOCOLPOS DUE TO ISOLATEDATRESIA OF THE LOWERTHIRD OF THE VAGINA: A CASE REPPORT

  • 1. Department of Obstetrics & Gynecology, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, Morocco.

Description

Reccurent hematocolposis a rare condition thatcanbe due to many malformations . One of themis the atresia of the lowerthird of vagina, wichis due to an anomaly in the development of the terminal part of the Müllerscanals.
Case:We report the clinical case of a 15-year-old patient who presented with primary amenorrhea associated with cyclic pelvic pain, in whom speculum examination revealed a blind vagina. The after finds the notion of hematocolpos cure with recurrence on 2 occasions. MRI revealed isolated atresia of the lower third of the vagina. The diagnosis of aplasia of the lower third of the vagina on a functional uterus was retained. The patient had a vaginal plasty by vaginal route. The evolution was satisfactory with regular cycles and improvement of pelvic pain. The follow-up is one year.
Conclusion: Regardless of the surgical technique used, vaginoplastyallows in this rare condition to restore good life quality and preventendometriosis.

 

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