EURORAD ESR

Case 12104

Congenital vaginal atresia with concealed haematocolpos and associated unicornuate uterus

Author(s)
Drs. Trupti Prabhu Dabholkar, Subbarao Chandana

Leighton Hospital,
Crewe, Cheshire, UK
Email:truptidabholkar@yahoo.com
 
Patient
female, 13 year(s)
 
 
  • Figure 1
    Atresia of lower vagina with proximal haematocolpos

    T2 weighted sagittal image shows atresia of lower vagina. Proximal vagina contains subacute blood and is distended suggestive of haematocolpos.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;
     
     
  • Figure 2
    Haematocolpos and haematometra

    Haematometra communicating with haematocolpos on T2 sagittal image. Again note atresia of lower vagina.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;
     
     
  • Figure 3
    Unicornuate uterus

    Unicornuate uterus displaced to the left, containing blood in endometrial cavity.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 4
    Unicornuate uterus

    Unicornuate uterus, banana-shaped configuration.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 5
    Absent vagina on axial imagge

    T2 axial image shows absence of vagina between the urethra and rectum.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 6
    Distended vagina, unicornuate uterus

    Distended vagina containing blood products. Also seen is unicornuate uterus displaced to the left.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 7
    Axial T1: Hyperintense blood in distended vagina and endometrial cavity
     

    Distended vagina and endometrial cavity with subacute blood on T1 axial MR images.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Distended vagina and endometrial cavity with subacute blood on T1 axial MR images.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Distended vagina and endometrial cavity with subacute blood on T1 axial MR images.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Distended vagina and endometrial cavity with subacute blood on T1 axial MR images.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Distended vagina and endometrial cavity with subacute blood on T1 axial MR images.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Distended vagina and endometrial cavity with subacute blood on T1 axial MR images.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Distended vagina and endometrial cavity with subacute blood on T1 axial MR images.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Distended vagina and endometrial cavity with subacute blood on T1 axial MR images.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Distended vagina and endometrial cavity with subacute blood on T1 axial MR images.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Distended vagina and endometrial cavity with subacute blood on T1 axial MR images.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 8
    Ultrasound showing haematocolpos

    Longitudinal ultrasound image showing distended vagina packed with internal echoes.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 9
    Haematocolpos and haematometra

    Longitudinal ultrasound image through uterus and vagina.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
T2 weighted sagittal image shows atresia of lower vagina. Proximal vagina contains subacute blood and is distended suggestive of haematocolpos.
 
Haematometra communicating with haematocolpos on T2 sagittal image. Again note atresia of lower vagina.
 
Unicornuate uterus displaced to the left, containing blood in endometrial cavity.
 
Unicornuate uterus, banana-shaped configuration.
 
T2 axial image shows absence of vagina between the urethra and rectum.
 
Distended vagina containing blood products. Also seen is unicornuate uterus displaced to the left.
 
Distended vagina and endometrial cavity with subacute blood on T1 axial MR images.
 
Distended vagina and endometrial cavity with subacute blood on T1 axial MR images.
 
Distended vagina and endometrial cavity with subacute blood on T1 axial MR images.
 
Distended vagina and endometrial cavity with subacute blood on T1 axial MR images.
 
Distended vagina and endometrial cavity with subacute blood on T1 axial MR images.
 
Distended vagina and endometrial cavity with subacute blood on T1 axial MR images.
 
Distended vagina and endometrial cavity with subacute blood on T1 axial MR images.
 
Distended vagina and endometrial cavity with subacute blood on T1 axial MR images.
 
Distended vagina and endometrial cavity with subacute blood on T1 axial MR images.
 
Distended vagina and endometrial cavity with subacute blood on T1 axial MR images.
 
Longitudinal ultrasound image showing distended vagina packed with internal echoes.
 
Longitudinal ultrasound image through uterus and vagina.
 
 
 
Home Search Sections Teaching Cases History FAQ Case Archives Contact Login Disclaimer Imprint Switch to MOBILE version
View desktop version