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 2. Pre-diagnostic imaging. (A) Transabdominal ultrasound found a hypoechoic mass in the uterine cavity 5.56×7.73 cm. The transverse septum was visualized on the proximal vagina. The cervix was not clearly visualized. (B) MRI scan found hematometrocolpos with transverse vaginal septum on the distal third of the vaginal canal (red arrow). (C) The cervix was visualized (red arrow). (D) A distal vaginal structure was not visualized. The distance between the most distal vaginal canal (distended) and the perineum/cutis was 2.7 cm (red arrow). UB – urinary bladder; CX – cervix.