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Updated: Jun 25, 2026

Gastric Point of Care Ultrasound in Adults: Image Acquisition and Interpretation
Published on: September 22, 2023
Primary amenorrhea with an abdominal mass at the umbilicus
Emily K Saks1, Babak Vakili, Adam C Steinberg
1Division of Urogynecology and Reconstructive Surgery, Department of Obstetrics and Gynecology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA. emilyksaks@yahoo.com
Background:
Transverse vaginal septum is a rare cause of primary amenorrhea. It has a reported incidence of 1:2,100-1:72,000 and a variety of clinical presentations.
Case:
A 16-year-old patient presented with primary amenorrhea and a large abdominal mass that was palpated on clinical exam and confirmed on MRI imaging. A diagnosis of transverse vaginal septum was ultimately made and the patient underwent a successful surgical excision of the septum and vaginal reconstruction.
Conclusion:
The presentation, etiology, diagnosis, and surgical treatment of a transverse vaginal septum are discussed.
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