| Management of lower vaginal agenesis in a patient with unicornuate uterus. | |
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MedLine Citation:
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PMID: 23332200 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: Absence of the lower vagina occurs from abnormal development of the sinovaginal bulbs and vaginal plate. CASE: We present a case of an adolescent girl, with a history of VACTERL and VATER status post flap vaginoplasty at 8 m of age and correction of vaginal-urethral fistula, with primary amenorrhea and cyclic pelvic pain. MRI showed a right hematocolpos. On exam the obstructed vagina was deviated to the right. Given prior urologic and rectal surgery, and laterality of unicornuate system, intra-operative ultrasonography (US) was performed. A needle was used to enter the inferior aspect of the obstructed vagina. A pull-through vaginoplasty was performed. SUMMARY AND CONCLUSION: Vaginal pull-through is the standard treatment for lower vaginal agenesis. In a unicornuate system, the use of intra-operative US is helpful to determine the appropriate angle of dissection. |
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Authors:
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Rebecca H Jessel; Marc R Laufer |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of pediatric and adolescent gynecology Volume: 26 ISSN: 1873-4332 ISO Abbreviation: J Pediatr Adolesc Gynecol Publication Date: 2013 Feb |
Date Detail:
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Created Date: 2013-01-21 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9610774 Medline TA: J Pediatr Adolesc Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: e21-3 Citation Subset: IM |
Copyright Information:
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Copyright © 2013 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Division of Gynecology, Children's Hospital, Boston, MA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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