Query: 13 year old girl vagina

title: Acute Care and Emergency Gynecology: Worsening cyclic pain and amenorrhea in a 13 year old girl with a normal appearing but short vagina

title: Vaginal mass in a 13 year old girl.
abstract: A 13 year old girl, otherwise healthy, presented with complaints of a painless vaginal mass associated with intermittent abnormal vaginal bleeding and discharge over a few weeks. External examination of genitalia was unremarkable and pubertal development was appropriate for her age. No obvious abnormality was detected on rectoabdominal examination. No transvaginal examination was attempted in view of the patient's age and she was directly referred to a trans perineal ultrasound scan that showed an ill defi ned lobulated heterogeneous vaginal mass. On further evaluation with dynamic contrast magnetic resonance imaging (MRI) of the pelvis, a lobulated polypoid mass was noted protruding from the cervical orifi ce into the upper two thirds of the vagina. This mass demonstrated heterogeneous high T2  and low T1 (Fig. 1b) signal intensity with mild central enhancement on delayed post contrast sequences  The rest of the pelvic organs were unremarkable. Later, the patient underwent vaginal examination under anaesthesia followed by colposcopy and hysteroscopy that showed a fl eshy polypoidal mass protruding from the endocervix into the vagina, which was subsequently resected. The vagina and uterine cavity were found to be unremarkable. What is the diagnosis of the mass? A. Benign endocervical polyp B. Mullerian adenosarcoma C. Embryonal rhabdomyosarcoma D. Endometrial stromal sarcoma E. Haemangioma/venous malformation

title: Laparoscopic Hysterectomy for Pyometra and Pyocolpos Caused by Obstruction in the Vagina of a 13 Year Old Girl with Urogenital Sinus Anomaly

title: Laparoscopic Hysterectomy for Pyometra and Pyocolpos Caused by Obstruction in the Vagina of a 13 Year Old Girl with Urogenital Sinus Anomaly
abstract: warewarehaNiao Sheng Zhi Dong Yi Chang woBan u13Sui Nu Er niDui shi te, Laparoscopic hysterectomy(LH)woXing tsuta nodekorewoBao Gao shitai. Niao Sheng Zhi Dong haLiang Xing niokeru Mi Niao Sheng Zhi Qi noFa Sheng Duan Jie denoYi Xing Tai dearu. Zai Tai 9Zhou Shi niokerumiyuraGuan noFa Yu Ting Zhi Niao Sheng Zhi Dong tono Yu He niyotsute, Mi Niao Zhi He Liu aruihaGong Tong Niao Sheng Zhi Dong tonaru. Zhi Fen Hua noTing Zhi noShi Qi niyotsuteYang "naCheng Du noNiao Sheng Zhi Dong Yi Can gaLin Chuang De niRen merareru. Fu Qiang Jing Xia Shou Shu haWai Ke Xi Ge Ke nioiteDi Qin Xi Xing Shou Shu toshiteShi Shi sareteori, Chan Fu Ren Ke Ling Yu nioite moZhao Shi niShi Ying Kuo Da shiteiruShou Shu dearu. Nei Shi Jing wo Tong shitenoFu Qiang Nei Cao Zuo to, Zhi Jie De Jing Zhi Cao Zuo noLiang Fang no apurochiwoChi chi, Di Qin Xi Xing totomoniZheng Li niyotsu tehakonoTe Xing woSheng kasukotomodekiru. LHtohaFu Qiang Jing Xia deZi Gong Shang Bu Ren Dai noChu Li dakenitodomarazuZi Gong Dong Mo noChu Li madeXing uga, Tong Shi niZhi karanoCao Zuo woBan u. Nu Er niokeruZi Gong Zhai Chu Li noBao Gao haXi Shao dearu. Ben Zheng Li deha, 30Yue Ling Shi niNiao Dao Zhi Fen Li Shu woShou keta. 12Sui to10keYue Shi Zao riFan suFa Re toDai Xia woRen metata me, Zhi Kou Kuo Da Shu woShou kerumo, Duan Qi Jian deZai Xia Zhai shi, Yi Qian toTong Yang noZheng Zhuang  Sok shita. Chang Qi niwataruGan Ran Yan Zheng notameZhi  Chi gaKun Nan dearukoto, Jing Shen Fa Da Chi Zhi notameSheng Zhi Ji Neng Wen Cun yorimoGen Zhi Shu toshitenoZi Gong Zhai Chu Shu gaHao mashiitoKao e, LHwoXing iZou Gong shitano deBao Gao suru.

title: [A foreign body of an unusual size in the vagina of a 13 year old girl]

title: [A foreign body of an unusual size in the vagina of a 13 year old girl]

title: [Coexistence of genito urinary system malformation and endometriosis in a 13 year old girl]
abstract: One presents the case of 13 aged girl with malformation of internal genitals in the form of double uterus, cervix and vagina (one vagina was obliterated) and total lack of kidney on the side of vaginal atresia. Simultaneously tumoral endometriosis of external genitals was found.

title: Synechia vulvae an unusual cause of urinary symptoms in a 15 year old girl
abstract: A girl, aged 15, menarche aged 13, cycle 7/5 6 weeks, and virgin, was admitted to hospital, because she had difficulties in micturition. During micturition, she had to use two fingers against the perineum to urinate, otherwise only drops came out. She also had the feeling of something filling in her vagina at the size of a tennis ball. Micturition was prolonged (10 15 min) She felt that she was urinating through vagina. After micturition, there was continuous urinary leak. The symptoms increased during menstruation, because blood and tissue clotted the little opening in the perineum. The symptoms started 6 months prior to her admittance to our department. During these 6 months, she was more and more disabled. She drank as little as possible to avoid micturition. She urinated three to four times per day. No nycturia was examined. Her mother confirmed that there had not been symptoms earlier and no history regarding infections. She had never noticed the synechia vulvae during her daughter's childhood. Gynecologic examination revealed a membrane at the vaginal orifice, but neither the introitus nor the urethral opening could be visualized. There was a small opening where urine could pass through  Abdominal ultrasound showed normal uterus and normal ovaries. Residual urine volume was 40 ml. The ultrasound examination of the kidneys was normal. Urine examination showed no bacterial growth on culture. Under general anesthesia, the obstructing vaginal membrane was incised. The two edges were sutured to prevent a new agglutination  Inspection showed a normal vagina, although it was deep and wide. The portio was normal. The uterus was normal in size and anteverted by exploration. She was instructed to wash the external genitalia after micturition and use lidocaine ointment, if she needed to. After 2 months follow up, gynecologic examination showed a normal introitus of the vagina and no agglutination had occurred. She had no difficulties in micturition.

title: Cervicovaginal Mullerian papilloma malignant transformation in a prepubertal girl
abstract: A 13 year old girl presented with irregular vaginal bleeding for 2 years and aggravated 10 days. Anal examination showed a hard vaginal mass. On the MRI, a 7.1 cmx6.3 cmx5.5 cm mass at the upper part of the vagina was seen, the relationship with cervix was unclear. The biopsy revealed a malignant tumour with massive necrosis, tended to be rhabdomyosarcoma or the other sarcoma. Because the clinical stage was International Federation of Gynecology and Obstetrics IIA, neoadjuvant chemotherapy took before the radical operation. Review the high quality, interactive digital Aperio slides at http:/virtualacp.com/JCPCases/jclinpath 2018 205612\_1/ and http:/virtualacp.com/JCPCases/jclinpath 2018 205612\_2/ and consider your diagnosis. 1. Mesonephric adenocarcinoma 2. Serous carcinoma 3. Malignant mixed Mullerian tumours 4. Mullerian papilloma malignant transformation to endometrioid carcinoma 5. Benign Mullerian papilloma The correct answer is after the discussion. Mullerian papilloma of the genital tract is rare. It mainly occurs in prepubertal girls ranging from 1 to 9 years old, and the major symptom is non cyclical vaginal bleeding or discharge. Since James1 reported the first case in 1951, only 56

title: Haematometrocolpos due to transverse vaginal septum with distal atretic vagina
abstract: A 15 year old girl presented with cyclical pelvic, lower abdominal pain and cramping beginning at age 13. She had not yet had onset of menarche and no history of sexual intercourse. On examination, she presented with lower abdominal distension, which felt like a firm mass extending up to the umbilicus and into the pelvic cavity. Abdominal ultrasound showed an ectopic right kidney in the paramedian position at the level of the umbilicus. Ultrasound also showed a large midline cystic structure located between the urinary bladder and rectum, containing low level homogenous echoes suggestive of blood products. MRI confirmed the ultrasound findings as it showed the endometrial, endocervical and vaginal canal were distended by low signal material (T2 and short tau inversion recovery) Images appeared hyperintense on T1W1, suggestive