13 year old girl vagina
73268619
Acute Care and Emergency Gynecology: Worsening cyclic pain and amenorrhea in a 13 year old girl with a normal appearing but short vagina
Nicole W Karjane
36689885
Vaginal mass in a 13 year old girl.
A 13 year old girl, otherwise healthy, presented with complaints of a painless vaginal mass associated with intermittent abnormal vaginal bleeding and discharge over a few weeks. External examination of genitalia was unremarkable and pubertal development was appropriate for her age. No obvious abnormality was detected on rectoabdominal examination. No transvaginal examination was attempted in view of the patient's age and she was directly referred to a trans perineal ultrasound scan that showed an ill defi ned lobulated heterogeneous vaginal mass. On further evaluation with dynamic contrast magnetic resonance imaging (MRI) of the pelvis, a lobulated polypoid mass was noted protruding from the cervical orifi ce into the upper two thirds of the vagina. This mass demonstrated heterogeneous high T2 (Fig. 1a) and low T1 (Fig. 1b) signal intensity with mild central enhancement on delayed post contrast sequences (Fig. 1c) The rest of the pelvic organs were unremarkable. Later, the patient underwent vaginal examination under anaesthesia followed by colposcopy and hysteroscopy that showed a fl eshy polypoidal mass protruding from the endocervix into the vagina, which was subsequently resected. The vagina and uterine cavity were found to be unremarkable. What is the diagnosis of the mass? A. Benign endocervical polyp B. Mullerian adenosarcoma C. Embryonal rhabdomyosarcoma D. Endometrial stromal sarcoma E. Haemangioma/venous malformation
Annals of the Academy of Medicine, Singapore
Sarat Kumar Sanamandra May Ying Leong Marielle V Fortier
68867571
Laparoscopic Hysterectomy for Pyometra and Pyocolpos Caused by Obstruction in the Vagina of a 13 Year Old Girl with Urogenital Sinus Anomaly
Ji Gang Chong Zhi Zhi Da Jiu Bao Shan Kou Gang Shi Mu Cun Xiu Bei Xie Cheng
76245177
Laparoscopic Hysterectomy for Pyometra and Pyocolpos Caused by Obstruction in the Vagina of a 13 Year Old Girl with Urogenital Sinus Anomaly
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Takashi Yoshioka Tomoharu Okubo Takeshi Yamaguchi Osamu Kimura Jo Kitawaki
6705306
[A foreign body of an unusual size in the vagina of a 13 year old girl]
Pediatria polska
Mecislovas Kmita
68151598
[A foreign body of an unusual size in the vagina of a 13 year old girl]
Kmita Mb
43327053
[Coexistence of genito urinary system malformation and endometriosis in a 13 year old girl]
One presents the case of 13 aged girl with malformation of internal genitals in the form of double uterus, cervix and vagina (one vagina was obliterated) and total lack of kidney on the side of vaginal atresia. Simultaneously tumoral endometriosis of external genitals was found.
Ginekologia polska
Antoni Palatynski Malgorzata Golab-Lipinska
28987590
Synechia vulvae an unusual cause of urinary symptoms in a 15 year old girl
A girl, aged 15, menarche aged 13, cycle 7/5 6 weeks, and virgin, was admitted to hospital, because she had difficulties in micturition. During micturition, she had to use two fingers against the perineum to urinate, otherwise only drops came out. She also had the feeling of something filling in her vagina at the size of a tennis ball. Micturition was prolonged (10 15 min) She felt that she was urinating through vagina. After micturition, there was continuous urinary leak. The symptoms increased during menstruation, because blood and tissue clotted the little opening in the perineum. The symptoms started 6 months prior to her admittance to our department. During these 6 months, she was more and more disabled. She drank as little as possible to avoid micturition. She urinated three to four times per day. No nycturia was examined. Her mother confirmed that there had not been symptoms earlier and no history regarding infections. She had never noticed the synechia vulvae during her daughter's childhood. Gynecologic examination revealed a membrane at the vaginal orifice, but neither the introitus nor the urethral opening could be visualized. There was a small opening where urine could pass through (Figure 1) Abdominal ultrasound showed normal uterus and normal ovaries. Residual urine volume was 40 ml. The ultrasound examination of the kidneys was normal. Urine examination showed no bacterial growth on culture. Under general anesthesia, the obstructing vaginal membrane was incised. The two edges were sutured to prevent a new agglutination (Figure 2) Inspection showed a normal vagina, although it was deep and wide. The portio was normal. The uterus was normal in size and anteverted by exploration. She was instructed to wash the external genitalia after micturition and use lidocaine ointment, if she needed to. After 2 months follow up, gynecologic examination showed a normal introitus of the vagina and no agglutination had occurred. She had no difficulties in micturition.
Acta obstetricia et gynecologica Scandinavica
Rikke Guldberg Susanne Thybo Bent Andersen
198911705
Cervicovaginal Mullerian papilloma malignant transformation in a prepubertal girl
A 13 year old girl presented with irregular vaginal bleeding for 2 years and aggravated 10 days. Anal examination showed a hard vaginal mass. On the MRI, a 7.1 cmx6.3 cmx5.5 cm mass at the upper part of the vagina was seen, the relationship with cervix was unclear. The biopsy revealed a malignant tumour with massive necrosis, tended to be rhabdomyosarcoma or the other sarcoma. Because the clinical stage was International Federation of Gynecology and Obstetrics IIA, neoadjuvant chemotherapy took before the radical operation. Review the high quality, interactive digital Aperio slides at http:/virtualacp.com/JCPCases/jclinpath 2018 205612\_1/ and http:/virtualacp.com/JCPCases/jclinpath 2018 205612\_2/ and consider your diagnosis. 1. Mesonephric adenocarcinoma 2. Serous carcinoma 3. Malignant mixed Mullerian tumours 4. Mullerian papilloma malignant transformation to endometrioid carcinoma 5. Benign Mullerian papilloma The correct answer is after the discussion. Mullerian papilloma of the genital tract is rare. It mainly occurs in prepubertal girls ranging from 1 to 9 years old, and the major symptom is non cyclical vaginal bleeding or discharge. Since James1 reported the first case in 1951, only 56
Journal of Clinical Pathology
Juan Zou Lingping Xie Xue Sherry Xiao Lian Xu Fan Yang Tong Qiu Kaixuan Yang
52910719
Haematometrocolpos due to transverse vaginal septum with distal atretic vagina
A 15 year old girl presented with cyclical pelvic, lower abdominal pain and cramping beginning at age 13. She had not yet had onset of menarche and no history of sexual intercourse. On examination, she presented with lower abdominal distension, which felt like a firm mass extending up to the umbilicus and into the pelvic cavity. Abdominal ultrasound showed an ectopic right kidney in the paramedian position at the level of the umbilicus. Ultrasound also showed a large midline cystic structure located between the urinary bladder and rectum, containing low level homogenous echoes suggestive of blood products. MRI confirmed the ultrasound findings as it showed the endometrial, endocervical and vaginal canal were distended by low signal material (T2 and short tau inversion recovery) Images appeared hyperintense on T1W1, suggestive
BMJ Case Reports
Faiza Jamil Hajira Farooq Khan Ali Younas Khan Faiz Anwer