Presentation
Primary amenorrhea, cyclical abdominal pain
Patient Data
Age: 15 years
Gender: Female
From the case:
Transverse vaginal septum
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The endometrial cavity is distended by hemorrhage. Transverse band in the upper vagina which is visualized more clearly after intravaginal administration of gel (right T2 sagittal stack).
Right hematosalpinx.
Case Discussion
Findings are consistent with a transverse vaginal septum, resulting in hematosalpinx (on the right, in this case) and hematometra. The MRI was specifically done to assess the thickness of the septum. For this, ultrasound jelly was introduced into the vagina to better delineate the septum.