title: The clandestine uterus: or how the uterus escapes detection prior to puberty.
abstract: Uterine agenesis is one of the differential diagnoses in adolescent girls with delayed menstruation. It may also be suspected earlier in childhood during investigations for other genitourinary conditions. However, accurate confirmation that the uterus is absent can be extremely difficult before puberty because of its small size. We describe ten girls referred to a specialist centre with a presumed diagnosis of an absent uterus which was later found to be incorrect. We conclude that imaging should be undertaken by clinicians with experience in management of this age group and in some girls it may be necessary to delay final diagnosis until after puberty.
authors.affiliation: University College Hospital, London, UK.
authors.forename: L
authors.initials: L
authors.lastname: Michala
authors.forename: N
authors.initials: N
authors.lastname: Aslam
authors.forename: G S
authors.initials: GS
authors.lastname: Conway
authors.forename: S M
authors.initials: SM
authors.lastname: Creighton
mesh_terms: D000293:Adolescent; D000568:Amenorrhea / Q000209:etiology*; D001284:Atrophy; D002648:Child; D003951:Diagnostic Errors; D012734:Disorders of Sex Development / Q000175:diagnosis* / Q000473:pathology; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009095:Mullerian Ducts / Q000002:abnormalities; D016649:Primary Ovarian Insufficiency / Q000175:diagnosis; D011627:Puberty; D011628:Puberty, Delayed / Q000175:diagnosis*; D012189:Retrospective Studies; D013997:Time Factors; D014599:Uterus / Q000002:abnormalities / Q000254:growth & development / Q000473:pathology*