Concluded Case

Absent vagina

A 2 and half years female baby has no vaginal opening and there is clitoromegaly.USG has been attached.kindly tell further management. Baby is ASYMPTOMATIC.

(Edited)
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Concluded answer

Vaginal atresia is not an emergency dr ,neither is clotoromegaly .No surgery required right now .uterus nd ovaries r there .Normal.As the child grows ,treatment shall be decided on symptomatology.chances of testosterone being elevated.U can counsel the pt that vaginal atresia can be operated around the time of menarche ,there will be no symptoms regarding it ,though the uterus is arcuate nd chances of difficulty in child bearing r there .

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Vaginal atresia is not an emergency dr ,neither is clotoromegaly .No surgery required right now .uterus nd ovaries r there .Normal.As the child grows ,treatment shall be decided on symptomatology.chances of testosterone being elevated.U can counsel the pt that vaginal atresia can be operated around the time of menarche ,there will be no symptoms regarding it ,though the uterus is arcuate nd chances of difficulty in child bearing r there .

thats not a emergency now . however chances of ureterovaginal reflux rates are high . vaginal dilators can b used later. patient is taught how to use it . frank procedure can b tried too . however if still no benefit then surgical reconstruction is the only option .

Please refer the patient to Paediatric Surgeon for surgical intervention

Thanks @Dr. Vishal Kole
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It's not emergency for management of vaginal atresia..but her hormonal assessment for cause of clitoromegaly required..Ideal age for intervention would be just before menarche at age of 10 year

Female child Vaginal artesia with clitoromegaly . Needs hormonal studies Surgical opinion for reconstruction.

Surgical intervention needed, consult to pediatric surgeons

Refer patient for surgical reference to paediatric surgeon

R/o adrenal disease

Surgical procedure