3 month old female child Micturition nd defecation normal Vaginal orifice closed Diagnosis nd treatment plz

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Vaginal hypoplasia. May be transverse vaginal septum.May be associated with MRKH Syndrome with uterine and cervical agenesis. Vaginal self dilatation is the initial treatment. In later life if it fails a vaginoplasty may be 5

May be required
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Vaginal hypoplasia Labial fusion anamoly Transverse vaginal septum Rarely vaginal agenesis.. Needs USG, Hormonal assays, karyotyping...

Usg shows normal uterus
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Might be labial adhesions. Or imperforate hymen. Wait for some mths. It can open on its own Or later on can plan for Tt under GA.

USS revealed Uterus, may also vagina. Labial fusion/ adhesions- esp l.minora often see cases. Topical Betamethazone/ Mometazone, with esotrogen application with some success. Most of the adhesions may be relieved spontaneously, either partially or totally. No hurry during infancy. Wait till the young infant to become child and advice for surgical correction by paediatric urologist or gynecologist. In this case Mullerian agenesis is a remote possibility.

It looks like Imperforate hymen.Do abdominal scan to exclude associated genital anomalies.It may cause mucocolpas due to accumulation of vaginal secretions nd haematocolpas after attaining menache.D.D-Low transverse vaginal septum ,vaginal hypoplasia.Trt-Small incision over the Imperforate hymen.

-Blind vaginal pouch - May be imperforated hymen or transverse vaginal septum - But till she achieve menarche cannot be diagnose exactly.

Dx : R/O MRKH SYNDROME. WORK UP WITH : MRI ABDOMEN TO LOOK FOR ABSENT UTERUS. LOOK FOR KIDNEY ECTOPIA/LOW PLACED KIDNEYS. MCUG. USG ABDOMEN. KARYOTYPING GENETIC STUDIES TO CONFIRM OR TO R/O MRKH SYNDROME.

I agree with dr Ramesh babu its simple labial adhesions

If labial adhesions, the baby will have urination problem. USG must Imperforate hymen to hypo or agenesis any thing possible

Usg shows normal uterus, kub normal
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Labial adhesion MRKH syn Vaginal atresia/hypoplasia

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