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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/16947
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dc.contributor.authorMişina, Ana
dc.date.accessioned2021-05-17T11:35:21Z
dc.date.available2021-05-17T11:35:21Z
dc.date.issued2016
dc.identifier.citationMIŞINA, Ana. Sept vaginal transversal complet: raport a şapte cazuri = Transverse septa of the vagina: a report of seven cases. In: Buletin de perinatologie. 2016, nr. 1(69), pp. 149-150. ISSN 1810-5289.en_US
dc.identifier.issn1810-5289
dc.identifier.urihttps://www.mama-copilul.md/images/buletin-perinatologic/BP_2016/1_2016.pdf
dc.identifier.urihttp://repository.usmf.md/handle/20.500.12710/16947
dc.descriptionIMSP Institutul Mamei şi Copilului, Secţia Ginecologie Chirurgicală, Chişinău, Republica Moldovaen_US
dc.description.abstractIntroducere: Septul vaginal transversal complet este o anomalie destul de rară a ductului Müllerian. Incidenţa lui nu este cunoscută precis, dar poate fi între 1/2100 şi 1/72000. Scopul acestei lucrări a fost de a evalua manifestările clinice, particularităţile diagnosticului şi tratamentului septurilor vaginale transversale complete complicate cu hematocolpos. Material şi metode: A fost efectuat reviul medical retrospectiv a 49 cazuri consecutive de hematocolpos, selectându-se cele cu septuri vaginale transversale complete. Rezultate: Un număr total de şapte paciente cu vârsta medie de 17.3±0.7 ani (95%CI:15.54–19.03) au fost internate în secţie cu acuze la dureri ciclice progresive în regiunea inferioară a abdomenului (vaginului) (7/7, 100%), amenoree primară (7/7, 100%), retenţie de urină (n=1, 14.3%) şi constipaţii (n=2, 28.6%). Valorile BMI (Body Mass Index, Indicele Masei Corporale) a fost de 23.8 ± 1.5 kg/m2 (95% CI: 20.12–27.62) şi maturitatea sexuală după scara Tanner JM corespundea la etapa V. În toate cazurile la examenul ginecologic s-a depistat o formaţiune chistică, dureroasă, iar în 2/7 (28.6%) – formaţiune palpabilă transabdominal. Examinările preoperatorii au inclus USG şi/sau RMN, la care s-a depistat hematometrocolpos sau hematocolpos (85.7% vs. 14.3%, p<0.05) cu dimensiunile maxime - 142.6±10.9 mm (95% CI:116.0–169.2), min.– 88.1±3.1 mm (95% CI:80.64– 95.47). Şase paciente au avut sept vaginal transversal complet jos (<3 cm) şi într-un caz sept mediu (3-6 cm) (85.7% vs. 14.3%, p=0.0291). Septuri vaginale transversale subţiri (<1 cm) s-au observat statistic veridic mai des decât septuri groase (p <0.05). Numai o singură pacientă a avut o anomalie concomitentă (uter didelf, conform clasifi cării ESHRE/ESGE, 2013). S-a efectuat excizia chirurgicală subtotală a septului şi drenarea hematocolposului (≈1057.1±163.1 ml). Supravegherea pacientelor la distanţă a demonstrat rezoluţia totală a simptomelor fără recurenţa hematocolposului (hematometrocolposului). Concluzie: Septurile vaginale transversale trebuie incluse în diagnosticul diferenţial al hematocolposului asociat cu dureri abdominale şi amenoree primară la pacientele tinere. Diagnosticul precoce ar putea conduce la evitarea complicaţiilor posibile cum ar fi endometrioza (dismenorea sau infertilitatea). Rezecţia septului transversal complet are rezultate bune pe un termen îndelungat.en_US
dc.description.abstractIntroduction: Transverse vaginal septae are a rare type of Müullerian anomaly. The exact incidence is unknown but may be between 1/2100 and 1/72 000. The aim of the study was to evaluated clinical presentation, the particularity of diagnosis, and treatment of transverse vaginal septa with hematocolpos. Materials & Methods: We retrospectively reviewed medical records of 49 consecutive cases with hematocolpos and all pts with transverse vaginal septa were selected from the database. Results: A total of seven patients, mean age 17.3±0.7 years (95%CI:15.54–19.03) were admitted to our department complaining progressive cyclic abdominal (vaginal) pain (7/7, 100%), primary amenorrhea (7/7, 100%), urinary retention (n=1, 14.3%) and constipation (n=2, 28.6%). The average value of BMI (Body Mass Index) was 23.8 ± 1.5 kg/m2 (95% CI: 20.12–27.62), and sexual maturity on the scale corresponded to Tanner JM stage V. Pelvic examination in all cases revealed a cystic and painful mass, and 2/7 (28.6%) – abdominal mass. Pre-operative evaluation included (USG or/and MRI) which revealed hematometrocolpos or hematocolpos (85.7% vs. 14.3%, p<0.05) with max. size – 142.6±10.9 mm (95% CI:116.0–169.2), min.– 88.1±3.1 mm (95% CI:80.64–95.47). Six of the patients had a low (<3 cm) transverse vaginal septum while one had a middle (3-6 cm) transverse vaginal septum (85.7% vs. 14.3%, p=0.0291). Thin (<1cm) vaginal septum observed statistically more frequently than thick (p <0.05). Only one patient had a concomitant anomaly (uterine didelphys, U3bC2V3, according ESHRE/ESGE classification, 2013). Surgical subtotal excision of the septum and drainage of the hematocolpos (»1057.1±163.1 ml) were performed. During follow up the complete resolution of symptoms and no recurrence of hematocolpos (hematometrocolpos). Conclusion: Transverse vaginal septum must be included in the differential diagnosis of hematocolpos with abdominal pain and primary amenorrhea in the early adolescent years. Early diagnosis could lead to correct management in order to avoid the complications of endometriosis (dysmenorrhea or infertility). Transverse vaginal septa resected vaginally have good long-term outcomes.en_US
dc.publisherInstituţia Medico-Sanitară Publică Institutul Mamei și Copiluluien_US
dc.relation.ispartofBuletin de perinatologieen_US
dc.subjecttransverse vaginal septumen_US
dc.subjectprimary amenorrhoeaen_US
dc.subjecthematocolposen_US
dc.titleSept vaginal transversal complet: raport a şapte cazurien_US
dc.title.alternativeTransverse septa of the vagina: a report of seven casesen_US
dc.typeOtheren_US
Appears in Collections:Buletin de Perinatologie Nr. 1(69) 2016

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