title: A Case of Distal Vaginal Agenesis Presenting with Recurrent Urinary Tract Infection and Pyuria in a Prepubertal Girl.
abstract: BACKGROUND
  Isolated distal vaginal agenesis is a rare anomaly and mostly becomes symptomatic after menarche. We describe an unusual presentation of this anomaly in a prepubertal girl.
  
  
  METHODS
  An 11-year-old prepubertal girl presented with recurrent urinary tract infection, pyuria, and right-sided renal agenesis. The findings of perineal inspection, ultrasonography, and magnetic resonance imaging were consistent with a distal vaginal agenesis with pyometrocolpos. Discharging pyometrocolpos with dissection of the atretic portion and a pull-through vaginoplasty were performed. A cystoscopy showed no sign of a vesicovaginal or uterine fistula.
  
  
  CONCLUSIONS
  This rare presentation of distal vaginal agenesis reminds us that congenital malformations of the female genital tract should be considered in patients with congenital anomalies of the urinary system and/or recurrent urinary tract infection, even during the prepubertal period.
authors.affiliation: Istanbul University School of Medicine, Department of Obstetrics and Gynecology, Istanbul, Turkey. Electronic address: cinozlem@hotmail.com.
authors.forename: Ozlem
authors.initials: O
authors.lastname: Dural
authors.affiliation: Istanbul University School of Medicine, Department of Obstetrics and Gynecology, Istanbul, Turkey.
authors.forename: Funda Gungor
authors.initials: FG
authors.lastname: Ugurlucan
authors.affiliation: Istanbul University School of Medicine, Department of Obstetrics and Gynecology, Istanbul, Turkey.
authors.forename: Cenk
authors.initials: C
authors.lastname: Yasa
authors.affiliation: Istanbul University School of Medicine, Department of Obstetrics and Gynecology, Istanbul, Turkey.
authors.forename: Ercan
authors.initials: E
authors.lastname: Bastu
authors.affiliation: Istanbul University School of Medicine, Department of Obstetrics and Gynecology, Istanbul, Turkey.
authors.forename: Hulya
authors.initials: H
authors.lastname: Eren
authors.affiliation: Istanbul University School of Medicine, Department of Obstetrics and Gynecology, Istanbul, Turkey.
authors.forename: Bahar
authors.initials: B
authors.lastname: Yuksel
authors.affiliation: Istanbul University School of Medicine, Department of Obstetrics and Gynecology, Istanbul, Turkey.
authors.forename: Serdal
authors.initials: S
authors.lastname: Celik
authors.affiliation: Istanbul University School of Medicine, Department of Obstetrics and Gynecology, Istanbul, Turkey.
authors.forename: Suleyman Engin
authors.initials: SE
authors.lastname: Akhan
mesh_terms: D002648:Child; D000013:Congenital Abnormalities / Q000601:surgery; D005260:Female; D006801:Humans; D007668:Kidney / Q000002:abnormalities*; D011776:Pyuria / Q000209:etiology*; D019651:Plastic Surgery Procedures; D012008:Recurrence; D014552:Urinary Tract Infections / Q000209:etiology* / Q000473:pathology; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery
keywords: Distal vaginal atresia; Urinary tract infection; Vaginoplasty