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Transverse vaginal septum

MedGen UID:
341032
Concept ID:
C1856006
Finding
Synonym: Transverse vaginal membrane
 
HPO: HP:0000145
Monarch Initiative: MONDO:0015850
Orphanet: ORPHA180160

Definition

A rare vaginal malformation characterized by the presence of a complete or incomplete transverse septum at any level of the vagina (most frequently the upper or middle third), resulting from incomplete fusion between the Müllerian duct component and the urogenital sinus component of the vagina during embryogenesis. The condition is only rarely diagnosed in neonates or infants, unless it causes significant hydromucocolpos. Complete septa present with primary amenorrhea, cyclic pelvic pain, dyspareunia, or a pelvic mass consisting of accumulated menstrual blood, while incomplete septa may lead to dyspareunia and dysmenorrhea. [from ORDO]

Term Hierarchy

Conditions with this feature

McKusick-Kaufman syndrome
MedGen UID:
184924
Concept ID:
C0948368
Disease or Syndrome
McKusick-Kaufman syndrome (MKS) is characterized by the combination of postaxial polydactyly (PAP), congenital heart disease (CHD), and hydrometrocolpos (HMC) in females and genital malformations in males (most commonly hypospadias, cryptorchidism, and chordee). HMC in infants usually presents as a large cystic abdominal mass arising out of the pelvis, caused by dilatation of the vagina and uterus as a result of the accumulation of cervical secretions from maternal estrogen stimulation. HMC can be caused by failure of the distal third of the vagina to develop (vaginal agenesis), a transverse vaginal membrane, or an imperforate hymen. PAP is the presence of additional digits on the ulnar side of the hand and the fibular side of the foot. A variety of congenital heart defects have been reported including atrioventricular canal, atrial septal defect, ventricular septal defect, or a complex congenital heart malformation.
Ectrodactyly, ectodermal dysplasia, and cleft lip-palate syndrome 1
MedGen UID:
343663
Concept ID:
C1851841
Disease or Syndrome
An EEC syndrome characterized by autosomal dominant inheritance that has material basis in variation in the chromosome region 7q11.2-q21.3.
Ectrodactyly, ectodermal dysplasia, and cleft lip-palate syndrome 3
MedGen UID:
347666
Concept ID:
C1858562
Disease or Syndrome
The TP63-related disorders comprise six overlapping phenotypes: Ankyloblepharon-ectodermal defects-cleft lip/palate (AEC) syndrome (which includes Rapp-Hodgkin syndrome). Acro-dermo-ungual-lacrimal-tooth (ADULT) syndrome. Ectrodactyly, ectodermal dysplasia, cleft lip/palate syndrome 3 (EEC3). Limb-mammary syndrome. Split-hand/foot malformation type 4 (SHFM4). Isolated cleft lip/cleft palate (orofacial cleft 8). Individuals typically have varying combinations of ectodermal dysplasia (hypohidrosis, nail dysplasia, sparse hair, tooth abnormalities), cleft lip/palate, split-hand/foot malformation/syndactyly, lacrimal duct obstruction, hypopigmentation, hypoplastic breasts and/or nipples, and hypospadias. Findings associated with a single phenotype include ankyloblepharon filiforme adnatum (tissue strands that completely or partially fuse the upper and lower eyelids), skin erosions especially on the scalp associated with areas of scarring, and alopecia, trismus, and excessive freckling.

Professional guidelines

PubMed

Passos IMPE, Britto RL
Taiwan J Obstet Gynecol 2020 Mar;59(2):183-188. doi: 10.1016/j.tjog.2020.01.003. PMID: 32127135
Obstet Gynecol 2019 Jun;133(6):e372-e376. doi: 10.1097/AOG.0000000000003283. PMID: 31135763
Master-Hunter T, Heiman DL
Am Fam Physician 2006 Apr 15;73(8):1374-82. PMID: 16669559

Recent clinical studies

Etiology

Pulappadi VP, Manchanda S, Dhamija E, Jana M
Br J Radiol 2024 Feb 28;97(1155):513-525. doi: 10.1093/bjr/tqad052. PMID: 38419147
Williams CE, Nakhal RS, Hall-Craggs MA, Wood D, Cutner A, Pattison SH, Creighton SM
BJOG 2014 Dec;121(13):1653-8. Epub 2014 Jun 19 doi: 10.1111/1471-0528.12899. PMID: 24942132
Lakhi N, Dun EC, Nezhat CH
Fertil Steril 2014 Jun;101(6):e37. Epub 2014 Mar 26 doi: 10.1016/j.fertnstert.2014.02.049. PMID: 24680366
Deligeoroglou E, Iavazzo C, Sofoudis C, Kalampokas T, Creatsas G
Arch Gynecol Obstet 2012 Apr;285(4):1083-7. Epub 2011 Oct 22 doi: 10.1007/s00404-011-2114-4. PMID: 22020675
Ameh EA, Mshelbwala PM, Ameh N
J Pediatr Adolesc Gynecol 2011 Apr;24(2):74-8. Epub 2011 Jan 22 doi: 10.1016/j.jpag.2010.08.016. PMID: 21256779

Diagnosis

Mentessidou A, Mirilas P
Int J Gynaecol Obstet 2023 Mar;160(3):762-770. Epub 2022 Aug 12 doi: 10.1002/ijgo.14362. PMID: 35880405
Kramer BCE, Abdullahi NS, Ten Have LC, van den Elzen APM
BMJ Case Rep 2022 Sep 23;15(9) doi: 10.1136/bcr-2021-246514. PMID: 36150723Free PMC Article
Passos IMPE, Britto RL
Taiwan J Obstet Gynecol 2020 Mar;59(2):183-188. doi: 10.1016/j.tjog.2020.01.003. PMID: 32127135
Lakhi N, Dun EC, Nezhat CH
Fertil Steril 2014 Jun;101(6):e37. Epub 2014 Mar 26 doi: 10.1016/j.fertnstert.2014.02.049. PMID: 24680366
Master-Hunter T, Heiman DL
Am Fam Physician 2006 Apr 15;73(8):1374-82. PMID: 16669559

Therapy

Cañadas Molina A, Sanz Baro R
Climacteric 2021 Apr;24(2):206-209. Epub 2020 Sep 29 doi: 10.1080/13697137.2020.1816958. PMID: 32990051
Shim J, Dwiggins M, Gomez-Lobo V
J Pediatr Adolesc Gynecol 2018 Oct;31(5):526-527. Epub 2018 Jun 19 doi: 10.1016/j.jpag.2018.06.004. PMID: 29929016
Rahman H, Trehan N, Singh S, Goyal M
J Minim Invasive Gynecol 2016 Jul-Aug;23(5):673-4. Epub 2016 Feb 23 doi: 10.1016/j.jmig.2016.02.011. PMID: 26922880
Koyama-Sato M, Hashida O, Nakamura T, Hirahara F, Sakakibara H
J Obstet Gynaecol Res 2015 Jul;41(7):1141-4. Epub 2015 Mar 15 doi: 10.1111/jog.12669. PMID: 25771822
Layman LC, McDonough PG
Fertil Steril 2010 Nov;94(6):2316-8. Epub 2010 Feb 20 doi: 10.1016/j.fertnstert.2009.12.061. PMID: 20172517

Prognosis

Kalampalikis A, Michala L, Kathopoulis N, Kypriotis K, Papaioannou G, Protopapas A
J Pediatr Adolesc Gynecol 2020 Oct;33(5):590-593. Epub 2020 May 11 doi: 10.1016/j.jpag.2020.05.002. PMID: 32437978
Shim J, Dwiggins M, Gomez-Lobo V
J Pediatr Adolesc Gynecol 2018 Oct;31(5):526-527. Epub 2018 Jun 19 doi: 10.1016/j.jpag.2018.06.004. PMID: 29929016
Noviello C, Romano M, Nino F, Martino A, Cobellis G
Gynecol Endocrinol 2018 Jan;34(1):56-58. Epub 2017 May 31 doi: 10.1080/09513590.2017.1332178. PMID: 28562147
Kashimura T, Takahashi S, Nakazawa H
Int Urogynecol J 2012 Jun;23(6):797-9. Epub 2011 Nov 23 doi: 10.1007/s00192-011-1608-8. PMID: 22109703
Srinath N, Misra DN
Int Urogynecol J Pelvic Floor Dysfunct 2007 May;18(5):583-5. Epub 2006 Aug 9 doi: 10.1007/s00192-006-0169-8. PMID: 16897124

Clinical prediction guides

Simonetti I, Trovato P, Verde F, Tarotto L, Della Casa R, Lonardo MC, Vallone G, Caprio MG
J Ultrasound 2018 Sep;21(3):249-252. Epub 2018 Mar 3 doi: 10.1007/s40477-018-0290-9. PMID: 29502244Free PMC Article
Koyama-Sato M, Hashida O, Nakamura T, Hirahara F, Sakakibara H
J Obstet Gynaecol Res 2015 Jul;41(7):1141-4. Epub 2015 Mar 15 doi: 10.1111/jog.12669. PMID: 25771822
Williams CE, Nakhal RS, Hall-Craggs MA, Wood D, Cutner A, Pattison SH, Creighton SM
BJOG 2014 Dec;121(13):1653-8. Epub 2014 Jun 19 doi: 10.1111/1471-0528.12899. PMID: 24942132
Kashimura T, Takahashi S, Nakazawa H
Int Urogynecol J 2012 Jun;23(6):797-9. Epub 2011 Nov 23 doi: 10.1007/s00192-011-1608-8. PMID: 22109703
Nawfal AK, Blacker CM, Strickler RC, Eisenstein D
J Minim Invasive Gynecol 2011 May-Jun;18(3):381-5. doi: 10.1016/j.jmig.2011.01.005. PMID: 21545963

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