Abstract
BACKGROUND:
The transverse vaginal septum is a congenital Mullerian abnormality caused due to improper fusion of the Müllerian ducts with urogenital sinus. It is classified as complete or incomplete and obstructive or non-obstructive and occurs at various levels such as superior vaginal (46%), mid-vaginal(40%) and inferior vaginal(14%). Transverse vaginal septum is a rare condition with incidence varying from 1:2100 to 1:72,000. The condition is difficult to manage often due to delayed diagnosis and is usually diagnosed when hematocolpos lead to symptoms due to an expanding pelvic mass
CASE DESCRIPTION:
A 14-year-old female adolescent presented with a history of acute pain abdomen that was increasing in frequency. Initially diagnosed as a case of imperforate hymen. Following additional pelvic examination and further investigation of the Transabdominal ultrasonography and magnetic resonance imaging (MRI), it was confirmed to be a case of Transverse vaginal septum presenting with cryptomenorrhea.
CONCLUSIONS:
This case report presents transverse vaginal septum with a solitary symptom of acute abdominal pain. The report emphasizes the need for additional investigations with considering cryptomenorrhea as a possible differential diagnosis and an appropriate age for repair
First Page
42
Last Page
49
Conflict of Interest
none
Keywords
Amenorrhea, transverse vaginal septum, cryptomenorrhea, mullerian abnormality
Word Count
900
Recommended Citation
Arya U Ms., Arya RM Dr..
A Case Of Cryptomenorrhea Presenting as - Acute Abdominal pain.
Digital Journal of Clinical Medicine.
2022;
4(1):
42-49.
doi:
https://doi.org/10.55691/2582-3868.1003
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This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.