lower vaginal atresia

Lower vaginal atresia is a type of vagina atresia where the the lower 3 of the vagina fails to develop.

Clinical presentation

Patients may present with primary amenorrhea with progressive cyclical abdominal pain.

Pathology

It is usually not considered a type of Mullerian duct anomaly. It occurs from a failure of recanalization of the urogenital sinus.

Radiographic features

May show a hydrometrocolpos or hematometrocolpos due to obstruction although the upper vagina may distend more than uterine cavity.

Differential diagnosis

Considerations include

• lower vaginal stenosis
• imperforate hymen 

See also

• transverse vaginal septum

Siehe auch:

• vaginal stenosis
• transverses Vaginalseptum

und weiter:

• vaginal atresia
• Atresie