{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:39:24Z","timestamp":1787841564810,"version":"build-2784847793"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["J West Afr Coll Surg"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Primary amenorrhoea due to M\u00fcllerian malformations is rare, with 1 in 4500 cases and 2%\u20138% of cases presenting as infertility. Obstructive M\u00fcllerian anomalies present as hematometra and hematocolpos during puberty. Timely surgical intervention is required to relieve acute pelvic pain and restore functional anatomy. A 15-year-old girl presented to OPD with complaints of severe pain in her lower abdomen and lower back for the last 2\u20133 weeks, not relieving on medication. She has not attained menarche and has been having cyclical pain and low backache for 7\u20138 days every month for the last year. Physical examination showed a suprapubic lump with vaginal agenesis. Magnetic resonance imaging revealed hematometrocolpos due to transverse vaginal septum and distal vaginal atresia. Pull-through vaginoplasty along with complete excision of transverse vaginal septum was performed. Vaginal dilator therapy was done after the healing of the sutures. In follow-up, the patient attained menstruation with a patent vagina. Obstructive M\u00fcllerian anomalies should be identified early by detailed clinical examination and targeted investigations to prevent long-term morbidity and infertility.<\/jats:p>","DOI":"10.4103\/jwas.jwas_97_23","type":"journal-article","created":{"date-parts":[[2023,12,11]],"date-time":"2023-12-11T08:18:44Z","timestamp":1702282724000},"page":"118-120","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["A rare case of hematometrocolpos due to transverse vaginal septum along with distal vaginal atresia in an adolescent girl"],"prefix":"10.4103","volume":"14","author":[{"given":"Vibha Rani","family":"Pipal","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shikha","family":"Seth","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dharmendra Kumar","family":"Pipal","sequence":"additional","affiliation":[{"name":"Department of General Surgery, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,12,14]]},"reference":[{"key":"CIT0001-20240907","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1177\/000992288702600609","article-title":"A simulated \u201cacquired\u201d imperforate hymen following the genital trauma of sexual abuse","volume":"26","author":"Berkowitz","year":"1987","journal-title":"Clin Pediatr (Phila)"},{"key":"CIT0002-20240907","doi-asserted-by":"crossref","first-page":"e363","DOI":"10.1097\/AOG.0000000000003281","article-title":"Management of acute obstructive uterovaginal 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