Primary amenorrhea with an abdominal mass at the umbilicus.
BACKGROUND
Transverse vaginal septum is a rare cause of primary amenorrhea. It has a reported incidence of 1:2,100-1:72,000 and a variety of clinical presentations.


METHODS
A 16-year-old patient presented with primary amenorrhea and a large abdominal mass that was palpated on clinical exam and confirmed on MRI imaging. A diagnosis of transverse vaginal septum was ultimately made and the patient underwent a successful surgical excision of the septum and vaginal reconstruction.


CONCLUSIONS
The presentation, etiology, diagnosis, and surgical treatment of a transverse vaginal septum are discussed.
Saks
Emily K
EK
Division of Urogynecology and Reconstructive Surgery, Department of Obstetrics and Gynecology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA. emilyksaks@yahoo.com
Vakili
Babak
B
Steinberg
Adam C
AC
D000293:Adolescent; D000568:Amenorrhea / Q000209:etiology*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006399:Hematocolpos / Q000000981:diagnostic imaging / Q000209:etiology; D006409:Hematometra / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D011627:Puberty / Q000502:physiology; D014463:Ultrasonography; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*