Type I congenital vaginal atresia with multiple organ malformations

Vaginal atresia (VA) is a rare female genital tract malformation characterized by the absence or incomplete development of the vagina, often leading to cyclic abdominal pain and menstrual blood retention in adolescent patients. Vaginal atresia is often accompanied by multiple organ malformations. The condition poses significant challenges in diagnosis and management, requiring a multidisciplinary approach.

Herein, we report a case of type I congenital VA in a 13-year-old female presenting with congenital biliary atresia and urinary system malformation. Upon initial evaluation, the patient exhibited VA incision and laparoscopic excision of a left ovarian cyst under general anesthesia. By the 2-month follow-up, the patient reported normal menstrual flow without accompanying abdominal pain.

This case underscores the complexity of type I congenital VA concurrent with multiple organ malformations. Timely identification and proper management strategies are crucial for securing the best possible patient outcomes. Further research is warranted to elucidate the underlying mechanisms and improve treatment modalities for such cases.