2011
DOI: 10.1007/s00404-011-2114-4
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Management of hematocolpos in adolescents with transverse vaginal septum

Abstract: Physicians should be aware of transverse vaginal septum in the differential diagnosis of hematocolpos with abdominal pain and primary amenorrhea in the early adolescent years. Early diagnosis could be based on premenarcheal gynecological examination and could lead to correct management in order to avoid the complications of endometriosis (dysmenorrhea or infertility).

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Cited by 30 publications
(26 citation statements)
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“…These cases were treated successfully with excision of septum followed by drainage of hematocolpos/hematometra. This result corresponds well with the findings of Deligeoroglou et al, where 4 patients of transverse vaginal septum presented with hypogastric abdominal pain and were treated accordingly [9]. The second most common cause for abdominal pain turned out to be unicornuate uterus with non-communicating horn (2 cases).…”
Section: Discussionsupporting
confidence: 89%
“…These cases were treated successfully with excision of septum followed by drainage of hematocolpos/hematometra. This result corresponds well with the findings of Deligeoroglou et al, where 4 patients of transverse vaginal septum presented with hypogastric abdominal pain and were treated accordingly [9]. The second most common cause for abdominal pain turned out to be unicornuate uterus with non-communicating horn (2 cases).…”
Section: Discussionsupporting
confidence: 89%
“…7 The etiology of the condition is unknown, although most cases are thought to be the result of female sex-limited autosomal recessive transmission. In transverse vaginal septum a vertical fusion disorder exists between the Müllerian ducts and the urogenital sinus.…”
Section: Discussionmentioning
confidence: 99%
“…It occurs in any portion of the vagina and can be transverse, longitudinal, or oblique. The majority of vaginal septa are located in the upper and middle third of the vagina; and thicker septa usually are closer to the cervix [6]. Complete transverse vaginal septum cause primary amenorrhoea, haematomata, haematocolpos.…”
Section: Discussionmentioning
confidence: 99%