ESPU Congress 2017 - Abstract book

CONGRESS OF THE ESPU

15:37–15:39

S3-2 (CP)

VAGINAL MALFORMATION, CLINICAL CASES REPORT

Guillermo CONCHA GROSSI

, Mario VARELA GANA

, Mario VARELA GUZMAN

Jorge VARELA

and Vadir RIADY

1) Hospital San Camilo,San Felipe, Pediatric surgery, San Felipe, CHILE - 2) Hospital San Camilo,San Felipe, Radiology

Service, San Felipe, CHILE - 3) Hospital San Camilo,San Felipe, Pathology Service, San Felipe, CHILE

PURPOSE DESCRIBE CLINICAL MANAGEMENT OF CONGENITAL VAGINAL

MALFORMATIONS

In gynecologic congenital malformations, transverse septum vaginal malformations are infrequent.

They occurs because fusion defect in embryological development of vagina. The etiology is un-

known, prevalence 1 in 3000 to 84000 women, it can be in proximal third (46%), medial (40%) and

distal (14%).

Clinically, it can manifest in the antenatal or neonatal time, as a severe hematocolpos, but is more

frecuent in the pubertal age, with primary amenorrhea, abdominal pain and pelvic mass.

The imagen study include, abdominal and pelvic ultrasound, CT or MRI, for study the thickness and

location of the vaginal septum.

The surgical approach,can be, Laparotomy, genital endoscopy, genital or sagittal prerectal perineal,

for resect the vaginal septum; and could be necessary more surgical procedures in the time, per-

haps the clinical evolution, as scar and vaginal stenosis.

MATERIAL AND METHODS

For the study we have done a retrospective review of the clincal records with vaginal malformation

in the pediatric surgery unit, from 2010 to 2016, previously accepted the hospital ethics clinical

committee.

We describe the clinical presentation,imaging study, age of surgery, surgical access, thickness of

septum, biopsy and clinical follow up.

RESULTS

The are five clinical cases of vaginal congenital malformations, with transverse septum,4 distal and

1 medium, with age between 4 and 13 years. All have been studied with ultrasound and surgical

resolved by vaginal perineal acces in 4, and sagital prerectal 1; In all cases biopsy confirm the

diagnosis of vaginal septum with 4 mm average thickness.

The follow up have been 47 month, two of them are with vaginal dilatation.

CONCLUSIONS

The vaginal congenital malformations are an spectrum, her clinical pesquiza must be suspected

and surgical manegment should be individualized, and is important the long time follow up.