A case report of a misdiagnosed type I vaginal agenesis review

Type I Vaginal agenesis presents with a range of clinical symptoms, including primary amenorrhea and periodic abdominal pain; in severe cases, it may also cause difficulty in urination, complicating the diagnosis.

This case report details the diagnostic journey of a 12-year-old girl who was repeatedly misdiagnosed due to "periodic abdominal pain and difficulty in urination" and ultimately diagnosed with Type I vaginal agenesis.

After several hospitals failed to determine the cause, our department diagnosed her with Type I vaginal agenesis and she underwent standard surgical treatment to restore physiological function.

This report underscores the critical importance of early and accurate diagnosis of this rare condition, and highlights the effectiveness of appropriate surgical intervention and thorough postoperative care, aiming to guide the clinical management of similar cases in the future.