Case Report : Hematocolpos et Hematometra e.c Septum Vagina Transversal

Authors

  • Km Allan Wahyu Permana Universitas Lampung
  • Ghaaliya dyah adheline universitas lampung
  • Nurul Islamy universitas lampung
  • Marzuqi Sayuti universitas lampung

DOI:

https://doi.org/10.53089/medula.v11i2.249

Keywords:

Hematocolpos, Hematometra, Septum Tranversal

Abstract

Transverse vaginal septum is rare mullerian duct anomaly, the incidence was report around 1 : 70.000 in every birth, transverse vaginal septum occures due to failure of canalization of vaginal plate in junction point of urogenital sinus and mullerian duct, usually with obstruction symtoms during menstruation. Classification of mullerian duct anomaly divide into 7 class, hypoplasia or agenesis, unicomuate, didelphys, bicornuate, septate, arcuate, and diethulstillbestrol related anomaly. Diagnosis of transverse vaginal septum was made on basis of medical sign and symtoms, physical examination, and ultrasound examination, CT Scan, or MRI. Treatment of septum vaginal transversal is surgical resection of septum vagina. This study is a case report at Abdul Moeloek Hospital in Bandarlampung. It has been reported the case of a female patient aged 10 years, patient compained of pain in lower abdomen since september, pain felt every month, patient has not had menarche. Physical examination shows swelling in suprapubic with no pain in palpation. Gynecology examination with sonde show length of vagina is 4 cm.  In rectal touche there was impression of mass in anterior to the rectum. On ultasound examination show hematocolpos and hematometra, CT scan examination show the impression of hematocolpos and hydrosalping bilateral. Patient was diagnosed with Hematocolpos et hematometra e.c. septum transversal

References

Hoofman B. Williams Gynecology 4th edition. New yorks : McGraw-Hill; 2020.

Junizaf. Penatalaksanaan Kelainan Bawaan Alat Genitalia Wanita. Workshop Vaginal Surgery; Jakarta 9-10 Februari 2004.

Rizk B, Borahay M, Ramzy A. Clinical Diagnosis and Management of Gynecologic Emergencies. Amerika : CRC press; 2021.

Passos I, Britto R. Diagnosis and treatment of mullerian malformation. Taiwan J Obstet Gynecol. 2020; 59(2): 183-185.

Oloyede O, Obajimi G. A case report of premenarchial transverse vagina septum at the university college hospital. Ann ib Postgrad Med. 2017; 15(2): 130-132

Kamal EM, Lakhdar A, Baidada A. Management of a transverse vaginal septum complicated with hematocolpos in an adolescent girl: Case report. Int J Surg Case. 2020; 77:748-52

Nayak A, Swarup A. Hematometra and acute abdomen. J Emerg Trauma Shock. 2010; 3(2):191-2.

Moore KL dan Dalley AF. Anatomi berorientasi klinis edisi 5 jilid 1. Jakarta : Erlangga; 2013.

Lobo R, Gershenson D, Lentz G, Valea F. Comprehensive Gynecology 7th edition. Philadelphia : Elsevier; 2017.

Pfeifer S. Congenital Mullerian Anomalies. Switzerland : Springer Nature; 2016.

Published

2021-11-28

How to Cite

Wahyu Permana, K. A., Ghaaliya dyah adheline, Nurul Islamy, & Marzuqi Sayuti. (2021). Case Report : Hematocolpos et Hematometra e.c Septum Vagina Transversal. Medical Profession Journal of Lampung, 11(2), 215-218. https://doi.org/10.53089/medula.v11i2.249