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Recurrent Escherichia coli Urinary Tract Infection Triggered by Gardnerella vaginalis Bladder Exposure in Mice
Published on: December 4, 2020
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Case report: Hydrometrocolpos conditioning recurrent urinary tract infections
Ewelina Malanowska1, Mariola Krzyścin2, Elzbieta Sowińska-Przepiera2
1Department of Gynecology, Endocrinology and Gynecologic Oncology, Pomeranian Medical University, Szczecin, West Pomeranian, Poland.
Frontiers in Surgery
|October 28, 2022
Summary
A rare reproductive tract obstruction caused recurrent urinary infections in a young girl. Surgical correction and dilation resolved the issue, preventing further infections.
Area of Science:
- Reproductive medicine
- Pediatric urology
- Gynecologic surgery
Background:
- Recurrent urinary tract infections (UTIs) can indicate underlying anatomical abnormalities.
- Undiagnosed obstructive defects in the female reproductive tract may present with vague symptoms until significant distension occurs.
- Delayed diagnosis of congenital reproductive tract anomalies can lead to chronic health issues.
Observation:
- A 12.5-year-old female presented with a history of recurrent UTIs and later developed acute lower abdominal pain.
- Physical examination revealed underdeveloped genital organs and an obstructive defect in the reproductive tract.
- Transperineal ultrasonography was crucial in identifying the type and thickness of the vaginal septum.
Findings:
- The patient was diagnosed with a transverse vaginal septum causing reproductive tract obstruction.
- Surgical excision of the transverse vaginal septum was performed.
- Postoperative use of silicon dilators successfully prevented obstruction recurrence.
Implications:
- Early and detailed diagnostic evaluation is essential for recurrent UTIs in pediatric patients.
- Transperineal ultrasonography is a valuable tool for diagnosing obstructive urogenital anomalies.
- Effective surgical management and follow-up can resolve obstructive defects and prevent associated complications like UTIs.
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