Berger-Chen Sloane, Ritch Jessica M B, Kim Jin Hee, Evanko John, Hensle Terry W
Department of Obstetrics and Gynecology, Columbia University, New York City, New York, USA.
J Pediatr Adolesc Gynecol. 2012 Dec;25(6):e129-31. doi: 10.1016/j.jpag.2012.08.009.
Congenital disorders of the genitourinary system can be unpredictable. There are both medical and surgical interventions that can help manage symptoms.
A 10-year-old girl was evaluated 6 months post-menarche with dysuria and pelvic pain. Her symptoms were not relieved with menstrual suppression. Evaluation revealed a probable ectopic ureter versus ureterocele and uterine didelphys with suspicion for obstructed hemivagina and hematocolpos. Surgical exploration revealed an obstructed hemivagina with a high vaginal septum. When resection failed, she ultimately underwent a robot-assisted hemihysterectomy, with resolution of her symptoms.
In this case presentation, a surgical approach was necessary to adequately make a diagnosis. When vaginal septum resection failed, robot-assisted laparoscopic hemi-hysterectomy and resection of a vaginal pouch led to symptom resolution in this pediatric patient with a complex anomaly.
