The Complete Vaginal Atresia with Diffuse Pelvic and Abdominal Endometriosis —A Case Report and Review of Literature

一凡 尹
In: Advances in Clinical Medicine · 2022 · vol. 12(12) , pp. 11292–11297 · doi:10.12677/acm.2022.12121627 · W4313015739
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⚙ AI-generated summary by claude@2026-07+body, 2026-07-16 ⓘ

This case report details a patient with complete vaginal atresia and diffuse endometriosis who underwent an alternative surgical approach without standard vaginoplasty, showing no complications after two years.

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⚙ AI-generated deep summary by claude@2026-07, 2026-07-16 · read from full text ⓘ

This paper reports a single case of complete vaginal atresia accompanied by diffuse pelvic and abdominal endometriosis, and provides a brief literature review on the condition. Using a case-report approach, the authors describe that the patient was not treated with the usual vaginoplasty, and that during 2 years of follow-up there were no obvious complications, while the report also discusses the importance of early diagnosis of vaginal atresia and the influence of treatment choice on prognosis. The main limitation is that the evidence is confined to one case with short follow-up, supplemented by a narrative literature discussion rather than systematic evaluation. This paper is centrally about endometriosis — it focuses on complete vaginal atresia with diffuse pelvic and abdominal endometriosis and reports outcomes after selecting a nonstandard surgical approach.

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完全性阴道闭锁合并弥漫性盆腹腔子宫内膜异位症——一例病例报道及文献复习 The Complete Vaginal Atresia with Diffuse Pelvic and Abdominal Endometriosis —A Case Report and Review of Literature The Complete Vaginal Atresia with Diffuse Pelvic and Abdominal Endometriosis —A Case Report and Review of Literature DOI: 10.12677/ACM.2022.12121627, PDF, 被引量 作者: 尹一凡：青岛大学，山东 青岛；娄艳辉*, 殷广洁, 夏玉芳, 于 啸：青岛大学附属医院，山东 青岛 关键词: 子宫内膜异位症；阴道闭锁；阴道成形术；Endometriosis； Vaginal Atresia； Vaginoplasty 作者: 尹一凡：青岛大学，山东 青岛；娄艳辉*, 殷广洁, 夏玉芳, 于 啸：青岛大学附属医院，山东 青岛 关键词: 子宫内膜异位症；阴道闭锁；阴道成形术；Endometriosis； Vaginal Atresia； Vaginoplasty 摘要: 完全性阴道闭锁是一种少见的女生生殖道畸形，主要通过手术再通或者重建新阴道进行治疗，然而再黏连、狭窄，性生活困难等并发症并不少见，本文介绍了一例完全性阴道闭锁合并弥漫性盆腹腔内异症的病例，并没有采取常用的阴道成形术，随访2年仍未出现明显并发症，并讨论阴道闭锁早期诊断重要性，治疗方法的选择及对患者预后的影响。 Abstract: Complete vaginal atresia is rare in female genital malformation, which is mainly treated by surgical recanalization or reconstruction of a new vagina. However, complications such as re-adhesion, steno-sis, and dyspareunia are common. This paper introduces a case of complete vagina atresia with diffuse pelvic and abdominal endometriosis, she did not take the usual vaginoplasty, and was no obvious complications after 2 years of follow-up, and discusses the importance of early diagnosis of vaginal atresia and the selection of treatment methods. 文章引用：尹一凡, 娄艳辉, 殷广洁, 夏玉芳, 于啸. 完全性阴道闭锁合并弥漫性盆腹腔子宫内膜异位症——一例病例报道及文献复习[J]. 临床医学进展, 2022, 12(12): 11292-11297. https://doi.org/10.12677/ACM.2022.12121627 | [1] | Acién, P. and Acién, M. (2016) The Presentation and Management of Complex Female Genital Malformations. Human Reproduction Update, 22, 48-69. [Google Scholar] [CrossRef] [PubMed] | | [2] | Uğur, M., Turan, C., Mungan, T., Kuşçu, E., Senöz, S., Ağiş, H.T. and Gökmen, O. (1995) Endometriosis in Association with Müllerian Anomalies. Gy-necologic and Obstetric Investigation, 40, 261-264. [Google Scholar] [CrossRef] [PubMed] | | [3] | Pitot, M.A., Bookwalter, C.A. and Dudiak, K.M. (2020) Mullerian Duct Anomalies Coincident with Endometriosis: A Review. Abdominal Radiology, 45, 1723-1740. [Google Scholar] [CrossRef] [PubMed] | | [4] | 朱兰, 冷金华, 郎景和, 连利娟, 黄荣丽, 刘珠凤, 孙大为. 阴道闭锁16例临床分析[J]. 中华妇产科杂志, 2002, 37(4): 217-219. | | [5] | Song, X.C., Zhu, L., Ding, J., et al. (2016) Clinical Characteristics of Congenital Cervical Atresia and Associated Endometriosis among 96 Patients. International Journal of Gynecology & Obstetrics, 134, 252-255. [Google Scholar] [CrossRef] [PubMed] | | [6] | Vercellini, P., Viganò, P., Somigliana, E., et al. (2014) Endome-triosis: Pathogenesis and Treatment. Nature Reviews Endocrinology, 10, 261-275. [Google Scholar] [CrossRef] [PubMed] | | [7] | Redwine, D.B. (2002) Diaphragmatic Endometriosis: Diagnosis, Surgical Management, and Long-Term Results of Treatment. Fertility and Sterility, 77, S23. [Google Scholar] [CrossRef] | | [8] | Ludwin, A. and Pfeifer, S.M. (2019) Reproductive Surgery for Mullerian Anomalies: A Review of Progress in the Last Decade. Fertility and Sterility, 112, 408-416. [Google Scholar] [CrossRef] [PubMed] | | [9] | Willemsen, W.N. and Kluivers, K.B. (2015) Long-Term Results of Vaginal Construction with the Use of Frank Dilation and a Peritoneal Graft (Davydov Procedure) in Patients with Mayer-Rokitansky-Kuster Syndrome. Fertility and Sterility, 103, 220-227.e1. [Google Scholar] [CrossRef] [PubMed] | | [10] | Kisku, S., Varghese, L., Kekre, A., et al. (2015) Bowel Vaginoplasty in Children and Young Women: An Institutional Experience with 55 Patients. International Urogynecology Journal, 26, 1441-1448. [Google Scholar] [CrossRef] [PubMed] | | [11] | van der Sluis, W.B., Bouman, M.-B., Meijerink, W.J.H.J., et al. (2016) Diversion Neovaginitis after Sigmoid Vaginoplasty: Endoscopic and Clinical Characteristics. Fertility and Sterility, 105, 834-839.e1. [Google Scholar] [CrossRef] [PubMed] | | [12] | Moon, H.S., Koo, J., Lee, H., et al. (2017) Simple Neovaginoplasty Using Spontaneous Regeneration Ability of Labial and Vestibular Flap in Patients with Müllerian Agenesis. Gynecology and Minimally Invasive Therapy, 6, 173-177. [Google Scholar] [CrossRef] [PubMed] | | [13] | 罗光楠, 秦成路, 张可, 龚旭, 石瑾秋, 李宝艳, 番宏信. 罗湖四式治疗合并功能性子宫的阴道闭锁5例报告[J]. 中国微创外科杂志, 2016, 16(10): 927-930. | | [14] | Callens, N., De Cuypere, G., De Sutter, P., et al. (2014) An Update on Surgical and Non-Surgical Treatments for Vaginal Hypoplasia. Human Reproduction Update, 20, 775-801. [Google Scholar] [CrossRef] [PubMed] |

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