Congenital defects of female generative organs development

1. Congenital defects of female generative organs development.

Lecturer : Antonova G.A.
Assistant of Chair of Obstetrics and
Gynecolgy SSMU

2. Task № 1.

A girl of 14 years old was brought авлена
to gynecological department
with complains on repeated cyclic с painsся
pains, sensation of heaviness
in low part of abdomen, sometime
problems with urination.

3.

What are Your questions?

4. Date of anamnesis of disease:

From 13, 5 years old she has cyclic,
repeated pains in low part of abdomen,
sometime nausea, vomiting. No
menstruation.

5. Anamnesis of vitae

She was growing in coordination with age.
She had in the past chronic tonsillitis .
According to mother ‘s telling , she had such
problem, as chronic vulvitis and was treated
children’s gynecologist. In present time
there is no acute stage of disease.

6. Date of common examination:

Height is158 sm, mass
56kg. Right way of body buправильного
Built, satisfactory feeding.
Breasts are defeloped.

7. Date of gynecologic examination:

Hair growing is on female type. Vulva skin
color is pink. There is overloading of hymen.
Р.R. There is a large formation in small
pelvis, elastic consistence , on the top of it
there is a small hard organ.

8.

Methods of additional examination?

9. Date of laboratory investigation.

CBA – HG level is 132 gr\l , erythrocytes 3
mln 200thousand.
Leucocytes- 6800
Fibrinogen is 4, 5 gr/ lл
Degree of vagina purity is the II ,
Blood group is В( III) third, Rh+( positive)
Normal of urine analysis .

10. Date of USI:

There is Echo- negative formation in small
pelvis.

11. Provisional diagnosis is :

Atresia of hymen.

12. Put a differential diagnosis on the base of pictures.

13. Treatment is :

Dissection of hymen with crest ‘s insision.

14. What is a an amenorrhea form in this case?

15.

On which week of intrauterine development
the internal female organs are formated?

16. Time of formation is

From 6 till 20 weeks. Muller’s ducts on the
6 week.
From7 -8 weeks – growing and making
together of ducts .
There are 2uterine- vaginal cavity in the
beginning, separated by fibrous septum
Process of reduction is performing from .
caudal to cranial end.

17. Risk group of defects

From women with professional factors, smoker, drinkers,
infection diseases from 8 to 16 weeks, particular virus
infections.

18. Epidemiology

Congenital defects take 4% among all types of defects .
There is increasing at 10 times quantity of defects
During the last 5 years.

19.

20.

1 — атрезия; 2 — аплазия влагалища и матки; 3 — частичная или полная атрезия
влагалища; 4 — удвоение влагалища и матки с частичной или полной аплазией одного из
влагалищ.

21. There are such congenital defects , as:

1. Agenesia
2. Aplasia
3.Hypoplasia
4.Hyperplasia
5.Heterotopy
6.Hetroplasia
7. Ectopy
8.Multyplication
9. Atresia
10.Stenosis . Please, give a conception about every .