A Case of Distal Vaginal Agenesis Presenting with Recurrent Urinary Tract Infection and Pyuria in a Prepubertal Girl

Abstract Background Isolated distal vaginal agenesis is a rare anomaly and mostly becomes symptomatic after menarche. We describe an unusual presentation of this anomaly in a prepubertal girl. Case An 11-year-old prepubertal girl presented with recurrent urinary tract infection, pyuria, and right-si...

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Bibliographic Details
Published in:Journal of pediatric & adolescent gynecology 2017-02, Vol.30 (1), p.e7-e10
Main Authors: Dural, Ozlem, MD, Ugurlucan, Funda Gungor, MD, Yasa, Cenk, MD, Bastu, Ercan, MD, Eren, Hulya, MD, Yuksel, Bahar, MD, Celik, Serdal, MD, Akhan, Suleyman Engin, MD
Format: Article
Language:English
Subjects:
Child
Congenital Abnormalities - surgery
Distal vaginal atresia
Female
Humans
Kidney - abnormalities
Obstetrics and Gynecology
Pediatrics
Pyuria - etiology
Reconstructive Surgical Procedures
Recurrence
Urinary tract infection
Urinary Tract Infections - etiology
Urinary Tract Infections - pathology
Vagina - abnormalities
Vagina - surgery
Vaginoplasty
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Summary:Abstract Background Isolated distal vaginal agenesis is a rare anomaly and mostly becomes symptomatic after menarche. We describe an unusual presentation of this anomaly in a prepubertal girl. Case An 11-year-old prepubertal girl presented with recurrent urinary tract infection, pyuria, and right-sided renal agenesis. The findings of perineal inspection, ultrasonography, and magnetic resonance imaging were consistent with a distal vaginal agenesis with pyometrocolpos. Discharging pyometrocolpos with dissection of the atretic portion and a pull-through vaginoplasty were performed. A cystoscopy showed no sign of a vesicovaginal or uterine fistula. Summary and Conclusion This rare presentation of distal vaginal agenesis reminds us that congenital malformations of the female genital tract should be considered in patients with congenital anomalies of the urinary system and/or recurrent urinary tract infection, even during the prepubertal period.
ISSN:1083-3188
1873-4332
DOI:10.1016/j.jpag.2016.08.007