10 March 2025
: Case report 
Imaging and Diagnostic Challenges in an 11-Year-Old Girl with Vaginal Agenesis: A Case Report
Unusual clinical course, Mistake in diagnosis, Diagnostic / therapeutic accidents, Unusual setting of medical care, Congenital defects / diseases
Betari Dhira Paramita
ABDEF 1*, Dalri Muhammad Suhartomo ADEF 2, Mochamad Rizkar Arev Sukarsa ABEF 3, Andi Rinaldi ACDE 3, Aria Prasetya Ma'soem ABCD 3, Putri Nadhira Adinda Adriansyah ABEF 4
DOI: 10.12659/AJCR.944772
Am J Case Rep 2025; 26:e944772
Figure 1. Chronological timeline of the patient. The figure illustrates the diagnostic and treatment journey of the patient from January to March 2023. In January, the patient presented with cyclic pelvic pain for 1 month and underwent a hymenectomy at a private hospital due to suspected imperforate hymen. In February, no vaginal bleeding was observed following the procedure, prompting a referral to a secondary general hospital for further evaluation. In March, an ultrasound examination was inconclusive, but an MRI confirmed the presence of a large hematocolpos and hematometra, with a suspected transverse vaginal septum. During surgery, distal vaginal agenesis was identified as the underlying condition.