Abstract

CABRERA HERNANDEZ, Mayteé; REYES PUENTES, Lourdes Milagros; CAVEDA CARRASCO, Roberto  and  LORENZO MONTANO, Juan José. Vaginal abnormality: an interesting case report. Rev Ciencias Médicas [online]. 2010, vol.14, n.1, pp.273-279. ISSN 1561-3194.

Uterovaginal malformations (UVM) are due to an alteration in the process of embryogenesis of the female reproductive system. The imaging has a very important role during initial studies of these abnormalities; magnetic resonance imaging has significant advantages in non-invasive studies with a sensitivity of almost 100%. Hysterosalpingography is the classic technique to the study of UVM that provides information about cervical, endometrial canals and tubal permeability. The usefulness of the transabdominal imaging in the management of a UVM and main complications was showed when presenting a case of a 12 years old patient attending to the office with high fever, hypogastric pain and oliguria/dysuria without menarche. At physical examination a suprapubic tumor was palpated, a perineal dome, a non-tunneled hymen, facial edema and hypertension were observed. Imaging revealed a moderate dilatation of the excretory systems in both kidneys, vesical cavity was notable distended, visualizing a retrovesical hypoecoid mass in the right iliac fossa, without septa or contents related to a hematometra due to an imperforate hymen provoking bilateral obstructive hydronephrosis which led to a urinary retention of acute renal failure. Surgical correction of the UVM was carried out having a satisfactory imaging-clinical progression.

Keywords : UROGENITAL ABNORMALITIES; HEMATOCOLPOS; ULTRASONOGRAPHY; HEMATOMATRA.

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