Complete transverse vaginal septum complicated by pyocolpos, primary vesicoureteral reflux and ectopic ureter with renal loss: a case report
A transverse vaginal septum is a rare Müllerian anomaly caused by incomplete fusion between the Müllerian ducts and the urogenital sinus. It can obstruct menstrual flow, leading to hematocolpos, hydrocolpos, or pyocolpos. We report a 12-year-old girl with recurrent hematocolpos, abdominal pain, urin...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-07-01
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| Series: | Urology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214442025001524 |
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| author | Izadora Gabriela Coutinho Paulo Acácio Egger Ailton Fernandes Junior Angelo Cezar Bolognese Junior Abikeilla Ariane Bomfim Gomes Bernardi Amanda Yumi Ono Valderrama |
| author_facet | Izadora Gabriela Coutinho Paulo Acácio Egger Ailton Fernandes Junior Angelo Cezar Bolognese Junior Abikeilla Ariane Bomfim Gomes Bernardi Amanda Yumi Ono Valderrama |
| author_sort | Izadora Gabriela Coutinho |
| collection | DOAJ |
| description | A transverse vaginal septum is a rare Müllerian anomaly caused by incomplete fusion between the Müllerian ducts and the urogenital sinus. It can obstruct menstrual flow, leading to hematocolpos, hydrocolpos, or pyocolpos. We report a 12-year-old girl with recurrent hematocolpos, abdominal pain, urinary symptoms, and infections. Imaging showed a complete transverse vaginal septum and grade II vesicoureteral reflux. She underwent surgical drainage, septum resection, and ureteral reimplantation. Recovery was favorable, with symptom resolution and preserved renal function. This case emphasizes the need for early diagnosis and a multidisciplinary approach to avoid long-term complications in complex urogenital anomalies. |
| format | Article |
| id | doaj-art-11803c295fc24272aee614cfcbeefa80 |
| institution | DOAJ |
| issn | 2214-4420 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Urology Case Reports |
| spelling | doaj-art-11803c295fc24272aee614cfcbeefa802025-08-20T03:08:56ZengElsevierUrology Case Reports2214-44202025-07-016110308110.1016/j.eucr.2025.103081Complete transverse vaginal septum complicated by pyocolpos, primary vesicoureteral reflux and ectopic ureter with renal loss: a case reportIzadora Gabriela Coutinho0Paulo Acácio Egger1Ailton Fernandes Junior2Angelo Cezar Bolognese Junior3Abikeilla Ariane Bomfim Gomes Bernardi4Amanda Yumi Ono Valderrama5Regional University Hospital of Maringá, State University of Maringá, Brazil; State University of Maringá, Brazil; Corresponding author.Regional University Hospital of Maringá, State University of Maringá, Brazil; State University of Maringá, BrazilState University of Maringá, BrazilState University of Maringá, BrazilState University of Maringá, BrazilState University of Maringá, BrazilA transverse vaginal septum is a rare Müllerian anomaly caused by incomplete fusion between the Müllerian ducts and the urogenital sinus. It can obstruct menstrual flow, leading to hematocolpos, hydrocolpos, or pyocolpos. We report a 12-year-old girl with recurrent hematocolpos, abdominal pain, urinary symptoms, and infections. Imaging showed a complete transverse vaginal septum and grade II vesicoureteral reflux. She underwent surgical drainage, septum resection, and ureteral reimplantation. Recovery was favorable, with symptom resolution and preserved renal function. This case emphasizes the need for early diagnosis and a multidisciplinary approach to avoid long-term complications in complex urogenital anomalies.http://www.sciencedirect.com/science/article/pii/S2214442025001524Urogenital abnormalitiesImperforate vaginaVesicoureteral refluxEctopic ureterPediatric urology |
| spellingShingle | Izadora Gabriela Coutinho Paulo Acácio Egger Ailton Fernandes Junior Angelo Cezar Bolognese Junior Abikeilla Ariane Bomfim Gomes Bernardi Amanda Yumi Ono Valderrama Complete transverse vaginal septum complicated by pyocolpos, primary vesicoureteral reflux and ectopic ureter with renal loss: a case report Urology Case Reports Urogenital abnormalities Imperforate vagina Vesicoureteral reflux Ectopic ureter Pediatric urology |
| title | Complete transverse vaginal septum complicated by pyocolpos, primary vesicoureteral reflux and ectopic ureter with renal loss: a case report |
| title_full | Complete transverse vaginal septum complicated by pyocolpos, primary vesicoureteral reflux and ectopic ureter with renal loss: a case report |
| title_fullStr | Complete transverse vaginal septum complicated by pyocolpos, primary vesicoureteral reflux and ectopic ureter with renal loss: a case report |
| title_full_unstemmed | Complete transverse vaginal septum complicated by pyocolpos, primary vesicoureteral reflux and ectopic ureter with renal loss: a case report |
| title_short | Complete transverse vaginal septum complicated by pyocolpos, primary vesicoureteral reflux and ectopic ureter with renal loss: a case report |
| title_sort | complete transverse vaginal septum complicated by pyocolpos primary vesicoureteral reflux and ectopic ureter with renal loss a case report |
| topic | Urogenital abnormalities Imperforate vagina Vesicoureteral reflux Ectopic ureter Pediatric urology |
| url | http://www.sciencedirect.com/science/article/pii/S2214442025001524 |
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