Mojahid Mondal1, Narayan Pandit2
A 22-year-old woman, single, came to Radiodiagnosis Department of North Bengal
Medical College and Hospital for ultrasonography examination of whole abdomen
for evaluation of amenorrhoea and vague cyclical lower abdominal pain. She had
been treated outside the hospital for several years for above symptoms without
any fruitful outcome. There was no history of any surgical management to this
patient. Careful clinical examination of pelvis revealed an imperforate hymen. No
other clinical signs were found except mild lower abdomen tenderness. Routine
ultrasound was done with curvilinear probe with frequency of 5 MHz in GE LOGIQ
P 9 model ultrasound sonography (USG) Machine. Cervical agenesis was suspected
based on sonographic findings, non-visualization of the cervix with a uterus like
structure (measuring approx. 30 x 36 x 30 mm.) in right adnexal region. Mild
collection seen in pouch of Douglas. Both ovaries and bilateral adnexa were
normal. Vagina showed no abnormal collection. Other abdominal organs like liver,
gallbladder (GB), common bile duct (CBD), portal vein (PV), pancreas, spleen, both
kidneys, and bladder appeared normal. Transvaginal examination as well as
transvaginal sonography could not be performed as imperforate hymen.
Therefore, the patient underwent magnetic resonance imaging (MRI) examination
of whole abdomen which confirmed the ultrasonographic findings and the case
diagnosed as congenital atresia of uterine cervix with imperforate hymen.
