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All Journal Medula JURNAL ILMIAH KESEHATAN SANDI HUSADA Jurnal Ilmiah Kesehatan Sandi Husada
Marzuqi Sayuti
universitas lampung
Education Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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Laporan Kasus: Hematokolpos et Hematometra e.c Septum Vagina Transversal Km Allan Wahyu Permana; Ghaaliya dyah adheline; Nurul Islamy; Marzuqi Sayuti
Medula Vol 11 No 2 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i2.249

Abstract

Transverse vaginal septum is rare mullerian duct anomaly, the incidence was report around 1 : 70.000 in every birth, transverse vaginal septum occures due to failure of canalization of vaginal plate in junction point of urogenital sinus and mullerian duct, usually with obstruction symtoms during menstruation. Classification of mullerian duct anomaly divide into 7 class, hypoplasia or agenesis, unicomuate, didelphys, bicornuate, septate, arcuate, and diethulstillbestrol related anomaly. Diagnosis of transverse vaginal septum was made on basis of medical sign and symtoms, physical examination, and ultrasound examination, CT Scan, or MRI. Treatment of septum vaginal transversal is surgical resection of septum vagina. This study is a case report at Abdul Moeloek Hospital in Bandarlampung. It has been reported the case of a female patient aged 10 years, patient compained of pain in lower abdomen since september, pain felt every month, patient has not had menarche. Physical examination shows swelling in suprapubic with no pain in palpation. Gynecology examination with sonde show length of vagina is 4 cm.  In rectal touche there was impression of mass in anterior to the rectum. On ultasound examination show hematocolpos and hematometra, CT scan examination show the impression of hematocolpos and hydrosalping bilateral. Patient was diagnosed with Hematocolpos et hematometra e.c. septum transversal
Primary Amenorrhea et Hematocolpos et Hematometra e.c Transverse Vaginal Spetum Ahmad Hafid; Rodiani Rodiani; Marzuqi Sayuti
Jurnal Ilmiah Kesehatan Sandi Husada Vol 12 No 1 (2023): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Akademi Keperawatan Sandi Karsa (Merger) Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiskh.v12i1.867

Abstract

Background: Amenorrhea is defined as the absence of menarche in females of reproductive age. Primary amenorrhea is the failure to reach menarche by age 13 with no secondary sexual characteristics if menarche has not occurred five years after initial breast development or if the patient is 15 years or older. A transverse vaginal septum is a rare congenital abnormality in Mullerian duct development that can cause primary amenorrhea. Transverse vaginal septum incidence ranges from 1:2.100 to 1:72.000. The surgical treatment should be carried out as early as possible to prevent vaginal stenosis. Objective: To describe a rare müllerian duct abnormality and its management. Methods: This study is a case report. Primary data was obtained through auto anamnesis, anamnesis, physical examination, and ultrasound workup. Result: A 15 years old girl complained of cyclical abdominal pain a year ago without a history of menstruation. Ultrasound examination showed signs of hematometra and hematocolpos. The septum location was approximately 3cm from the vaginal introitus. We performed simple excision of the septum, then the distal end of the vagina wall of the septum was sutured to the proximal end of the vaginal wall with a simple interrupted suture. The patient was then discharged in good condition. Conclusion: The transverse vaginal septum remains a rare anomaly of the female genital tract; the reasons for its discovery are highly variable according to its shape and location. Haematocolpos remains the main consequence of these septums. The management is based on surgery while considering the risks of postoperative stenosis and the repercussions on the upper genital tract.
Primary Amenorrhea et Hematocolpos et Hematometra e.c Transverse Vaginal Spetum Ahmad Hafid; Rodiani Rodiani; Marzuqi Sayuti
Jurnal Ilmiah Kesehatan Sandi Husada Vol 12 No 1 (2023): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Akademi Keperawatan Sandi Karsa (Merger) Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiskh.v12i1.867

Abstract

Background: Amenorrhea is defined as the absence of menarche in females of reproductive age. Primary amenorrhea is the failure to reach menarche by age 13 with no secondary sexual characteristics if menarche has not occurred five years after initial breast development or if the patient is 15 years or older. A transverse vaginal septum is a rare congenital abnormality in Mullerian duct development that can cause primary amenorrhea. Transverse vaginal septum incidence ranges from 1:2.100 to 1:72.000. The surgical treatment should be carried out as early as possible to prevent vaginal stenosis. Objective: To describe a rare müllerian duct abnormality and its management. Methods: This study is a case report. Primary data was obtained through auto anamnesis, anamnesis, physical examination, and ultrasound workup. Result: A 15 years old girl complained of cyclical abdominal pain a year ago without a history of menstruation. Ultrasound examination showed signs of hematometra and hematocolpos. The septum location was approximately 3cm from the vaginal introitus. We performed simple excision of the septum, then the distal end of the vagina wall of the septum was sutured to the proximal end of the vaginal wall with a simple interrupted suture. The patient was then discharged in good condition. Conclusion: The transverse vaginal septum remains a rare anomaly of the female genital tract; the reasons for its discovery are highly variable according to its shape and location. Haematocolpos remains the main consequence of these septums. The management is based on surgery while considering the risks of postoperative stenosis and the repercussions on the upper genital tract.
Co-Authors Ahmad Hafid Ghaaliya dyah adheline Km Allan Wahyu Permana Nurul Islamy Rodiani