Congenital Vaginal Atresia: About an Uncommon Case

Congenital vaginal atresia is an uncommon developmental defect in the female reproductive system. In this review, we discuss a rare case involving a 19-year- old woman who presented with primary amenorrhea and recurrent pelvic pain. Upon clinical evaluation, a cup-shaped structure was noted in place of the vaginal opening. Imaging studies, including ultrasound and MRI, revealed a complete vaginal atresia along with a right unicornuate uterus, a non-functional rudimentary left horn, and significant accumulation of menstrual blood in the uterus. Diagnosed with vaginal aplasia and an abnormal uterus, the patient consented to undergo a subtotal hysterectomy, with preservation of the adnexa. Congenital vaginal atresia generally presents with primary amenorrhea and chronic pelvic pain. Diagnosis involves a thorough clinical assessment coupled with imaging techniques, where MRI plays a key role in determining the severity of the atresia and informing the surgical strategy. The goal of surgery is to restore the integrity of the utero-vaginal tract and improve reproductive outcomes for those affected. Subject Areas:- Gynecology – Obstetric