Background

Transverse vaginal septum is a rare Müllerian anomaly that can coexist with other defects.

Case

A 12-year-old patient was referred to our clinic for cyclic, lower abdominal pain. Magnetic resonance imaging revealed the presence of a transverse vaginal septum, a hemiuterus with a nonfunctioning rudimentary horn, and left unilateral ureter and kidney. The septum was excised laparoscopically assisted by a vaginal dilator to guide the dissection. The mucosal gap of the vagina was then bridged with sutures using the perineal approach. The postoperative course was uneventful and the patient was discharged with instructions for vaginal dilations.

Summary and Conclusion

Early identification of a transverse vaginal septum and careful planning of the operation can improve the outcome of corrective surgery and prevent possible complications.

中文翻译：

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具半子宫的横向阴道隔：腹腔镜引导的腹部手术方法。

背景

阴道横隔是罕见的缪勒氏异常，可以与其他缺陷共存。

案件

一名12岁患者因周期性下腹部疼痛而被转诊至我们的诊所。磁共振成像显示存在阴道横隔，半角子宫无功能性角，以及左单侧输尿管和肾脏。在阴道扩张器的协助下，腹腔镜切除隔膜。然后使用会阴方法用缝合线缝合阴道的粘膜间隙。术后过程平稳，患者出院后阴道扩张。

总结与结论

尽早识别阴道横隔膜并仔细计划手术可以改善矫正手术的效果并预防可能的并发症。