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

作者：Dural Ozlem^*; Ugurlucan Funda Gungor; Yasa Cenk; Bastu Ercan; Eren Hulya; Yuksel Bahar; Celik Serdal; Akhan Suleyman Engin

来源：Journal of Pediatric and Adolescent Gynecology, 2017, 30(1): E7-E10.

DOI：10.1016/j.jpag.2016.08.007

• Urinary tract infection
• Distal vaginal atresia
• Vaginoplasty

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.

• 出版日期2017-2