Post-traumatic high vaginal stricture and hematocolpos impersonating vaginal septum in adolescent girl: a case report

Authors

  • Smeet Patel Mayflower Women's Hospital, Ahmedabad, Gujarat, India
  • Sanjay Patel Mayflower Women's Hospital, Ahmedabad, Gujarat, India
  • Priyanka Bhadana Mayflower Women's Hospital, Ahmedabad, Gujarat, India
  • Ria Shetty Mayflower Women's Hospital, Ahmedabad, Gujarat, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20220594

Keywords:

Vaginal stenosis, Post-traumatic high vaginal stricture, Hematocolpos

Abstract

Vaginal stenosis was once a well-known condition in various nations. Vaginal stenosis can be caused by a variety of factors and manifest in a variety of ways. Because its occurrence is based on misinformation and cultural beliefs, acquired gynaetresia continues to be a major public health concern in underdeveloped nations, despite the fact that it is preventable. Traditional treatment involves an abdomino-perineal approach that requires a laparotomy. We are presenting a rare instance of vaginal stenosis following perineal trauma in an adolescent girl, which resulted in hematocolpos, and also as a novel laparoscopic technique to the management of significant vaginal stenosis.

Metrics

Metrics Loading ...

References

Kunwar S, Khan T, Gupta H. Acquired gynatresia. BMJ Case Rep. 2014;bcr2014203529.

Kaur G, Sinha M, Gupta R. Postpartum Vaginal Stenosis Due to Chemical Vaginitis. J Clin Diagn Res. 2016;10(5):3-4.

Kim HM, Bae JY, Cho YJ, Kim MJ, Cha HH, Seong WJ. Vaginal adhesions in a woman with the history of dystocia. Obstet Gynecol Sci. 2014;57(2):180.

Damast S, Jeffery DD, Son CH, Hasan Y, Carter J, Lindau ST, et al. Literature Review of Vaginal Stenosis and Dilator Use in Radiation Oncology. Pract Radiat Oncol. 2019;9(6):479-91.

Salgado CJ, Chim H, Skowronski PP, Oeltjen J, Rodriguez M, Mardini S. Reconstruction of acquired defects of the vagina and perineum. Semin Plast Surg. 2011;25(2):155-62.

Mirabeau-Beale K, Hong TS, Niemierko A, Ancukiewicz M, Blaszkowsky LS, Crowley EM, et al. Clinical and treatment factors associated with vaginal stenosis after definitive chemoradiation for anal canal cancer. Pract Radiat Oncol. 2015;5(3):113-8.

Arowojolu AO, Okunlola MA, Adekunle AO, Ilesanmi AO. Three decades of acquired gynaetresia in Ibadan: clinical presentation and management. J Obstet Gynaecol. 2001;21(4):375-8.

Okeke T, Anyaehie U, Ezenyeaku C. An overview of female genital mutilation in Nigeria. Ann Med Health Sci Res. 2012;2(1):70-3.

Fowler JA, Goodman GP, Evans JM, Schober JM. Long-term Vaginal Sequelae Secondary to Pediatric Pelvic Fracture. J Pediatric Adolescent Gynecol. 2009;22(1):15-9.

Ganapathy R, Bardis NS, Lamont RF. Secondary repair of the perineum following childbirth. J Obstet Gynaecol. 2008;28(6):608-13.

Brand AH, Bull CA, Cakir B. Vaginal stenosis in patients treated with radiotherapy for carcinoma of the cervix. Int J Gynecol Cancer. 2006;16:288-93.

Bahng AY, Dagan A, Bruner DW, Lin LL. Determination of prognostic factors for vaginal mucosal toxicity associated with intravaginal high-dose rate brachytherapy in patients with endometrial cancer. Int J Radiat Oncol Biol Phys. 2012;82:667-73.

Betalli P, De Corti F, Minucci D, Mazzarotto R, Meneghini L, Bisogno G, et al. Successful topical treatment with mitomycin-C in a female with post-brachytherapy vaginal stricture. Pediatric Blood Cancer. 2008;51(4):550-2.

Yanai N, Shufaro Y, Or R, Meirow D. Vaginal outflow tract obstruction by graft-versus-host reaction. Bone Marrow Transplantation. 1999;24(7):811-2.

Tullington JE, Blecker N. Pelvic Trauma. In: StatPearls. Treasure Island (FL): StatPearls Publishing. 2021.

Miles T, Johnson N. Vaginal dilator therapy for women receiving pelvic radiotherapy. Cochrane Database Syst Rev. 2010;(9):CD007291.

Downloads

Published

2022-02-25

How to Cite

Patel, S., Patel, S., Bhadana, P., & Shetty, R. (2022). Post-traumatic high vaginal stricture and hematocolpos impersonating vaginal septum in adolescent girl: a case report. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 11(3), 983–985. https://doi.org/10.18203/2320-1770.ijrcog20220594

Issue

Section

Case Reports