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Vaginal atresia

MedGen UID:
232948
Concept ID:
C1321884
Congenital Abnormality
Synonyms: Abnormally closed or absent vagina; vaginal atresia
Modes of inheritance:
Not genetically inherited
MedGen UID:
988794
Concept ID:
CN307044
Finding
Source: Orphanet
clinical entity without genetic inheritance.
 
HPO: HP:0000148
Monarch Initiative: MONDO:0019007
Orphanet: ORPHA65681

Definition

Congenital occlusion of the vagina or adhesion of the walls of the vagina causing occlusion. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVVaginal atresia
Follow this link to review classifications for Vaginal atresia in Orphanet.

Conditions with this feature

Acrocephalosyndactyly type I
MedGen UID:
7858
Concept ID:
C0001193
Congenital Abnormality
Apert syndrome is characterized by the presence of multisuture craniosynostosis, midface retrusion, and syndactyly of the hands with fusion of the second through fourth nails. Almost all affected individuals have coronal craniosynostosis, and a majority also have involvement of the sagittal and lambdoid sutures. The midface in Apert syndrome is underdeveloped as well as retruded; a subset of affected individuals have cleft palate. The hand in Apert syndrome always includes fusion of the middle three digits; the thumb and fifth finger are sometimes also involved. Feeding issues, dental abnormalities, hearing loss, hyperhidrosis, and progressive synostosis of multiple bones (skull, hands, feet, carpus, tarsus, and cervical vertebrae) are also common. Multilevel airway obstruction may be present and can be due to narrowing of the nasal passages, tongue-based airway obstruction, and/or tracheal anomalies. Nonprogressive ventriculomegaly is present in a majority of individuals, with a small subset having true hydrocephalus. Most individuals with Apert syndrome have normal intelligence or mild intellectual disability; moderate-to-severe intellectual disability has been reported in some individuals. A minority of affected individuals have structural cardiac abnormalities, true gastrointestinal malformations, and anomalies of the genitourinary tract.
McKusick-Kaufman syndrome
MedGen UID:
184924
Concept ID:
C0948368
Disease or Syndrome
McKusick-Kaufman syndrome (MKS) is characterized by the combination of postaxial polydactyly (PAP), congenital heart disease (CHD), and hydrometrocolpos (HMC) in females and genital malformations in males (most commonly hypospadias, cryptorchidism, and chordee). HMC in infants usually presents as a large cystic abdominal mass arising out of the pelvis, caused by dilatation of the vagina and uterus as a result of the accumulation of cervical secretions from maternal estrogen stimulation. HMC can be caused by failure of the distal third of the vagina to develop (vaginal agenesis), a transverse vaginal membrane, or an imperforate hymen. PAP is the presence of additional digits on the ulnar side of the hand and the fibular side of the foot. A variety of congenital heart defects have been reported including atrioventricular canal, atrial septal defect, ventricular septal defect, or a complex congenital heart malformation.
Renal hypodysplasia/aplasia 1
MedGen UID:
301437
Concept ID:
C1619700
Congenital Abnormality
Renal hypodysplasia/aplasia belongs to a group of perinatally lethal renal diseases, including bilateral renal aplasia, unilateral renal agenesis with contralateral dysplasia (URA/RD), and severe obstructive uropathy. Renal aplasia falls at the most severe end of the spectrum of congenital anomalies of the kidney and urinary tract (CAKUT; 610805), and usually results in death in utero or in the perinatal period. Families have been documented in which bilateral renal agenesis or aplasia coexists with unilateral renal aplasia, renal dysplasia, or renal aplasia with renal dysplasia, suggesting that these conditions may belong to a pathogenic continuum or phenotypic spectrum (summary by Joss et al., 2003; Humbert et al., 2014). Genetic Heterogeneity of Renal Hypodysplasia/Aplasia See also RHDA2 (615721), caused by mutation in the FGF20 gene (605558) on chromosome 8p22; RHDA3 (617805), caused by mutation in the GREB1L gene (617782) on chromosome 18q11; and RHDA4 (619887), caused by mutation in the GFRA1 gene (601496) on chromosome 10q25.
Renal-genital-middle ear anomalies
MedGen UID:
341454
Concept ID:
C1849432
Disease or Syndrome
Oculotrichoanal syndrome
MedGen UID:
383680
Concept ID:
C1855425
Disease or Syndrome
FREM1 autosomal recessive disorders include: Manitoba oculotrichoanal (MOTA) syndrome, bifid nose with or without anorectal and renal anomalies (BNAR syndrome), and isolated congenital anomalies of kidney and urinary tract (CAKUT). MOTA syndrome is characterized by an aberrant hairline (unilateral or bilateral wedge-shaped extension of the anterior hairline from the temple region to the ipsilateral eye) and anomalies of the eyes (widely spaced eyes, anophthalmia/microphthalmia and/or cryptophthalmos, colobomas of the upper eyelid, and corneopalpebral synechiae), nose (bifid or broad nasal tip), abdominal wall (omphalocele or umbilical hernia), and anus (stenosis and/or anterior displacement of the anal opening). The manifestations and degree of severity vary even among affected members of the same family. Growth and psychomotor development are normal. BNAR syndrome is characterized by a bifid or wide nasal tip, anorectal anomalies, and renal malformations (e.g., renal agenesis, renal dysplasia). Typically the eye manifestations of MOTA syndrome are absent. FREM1-CAKUT was identified in one individual with bilateral vesicoureteral reflux (VUR) and a second individual with VUR and renal hypodysplasia.
Bardet-Biedl syndrome 6
MedGen UID:
347610
Concept ID:
C1858054
Disease or Syndrome
Bardet-Biedl syndrome-6 (BBS6) is an autosomal recessive disorder with the cardinal features of postaxial polydactyly, retinitis pigmentosa, kidney defects, obesity, and mental retardation (Slavotinek et al., 2000). Zaghloul and Katsanis (2009) estimated that mutations in the MKKS gene account for 5.8% of the total BBS mutational load. For a general phenotypic description and a discussion of genetic heterogeneity of Bardet-Biedl syndrome, see BBS1 (209900).
Bardet-Biedl syndrome 12
MedGen UID:
347910
Concept ID:
C1859570
Disease or Syndrome
BBS12 is a clinically pleiotropic autosomal recessive ciliopathy. The patients with BBS12 studied by Stoetzel et al. (2007) and Harville et al. (2010) met the diagnostic criteria of Beales et al. (1999), which required the presence of either 4 primary features, including rod-cone dystrophy, polydactyly, obesity, learning disabilities, hypogonadism (in males), and/or renal anomalies; or 3 primary plus 2 secondary features (e.g., developmental delay, ataxia, cataracts). For a general phenotypic description and a discussion of genetic heterogeneity of Bardet-Biedl syndrome, see BBS1 (209900).
Antley-Bixler syndrome without genital anomalies or disordered steroidogenesis
MedGen UID:
422448
Concept ID:
C2936791
Disease or Syndrome
Cytochrome P450 oxidoreductase deficiency (PORD) is a disorder of steroidogenesis with a broad phenotypic spectrum including cortisol deficiency, altered sex steroid synthesis, disorders of sex development (DSD), and skeletal malformations of the Antley-Bixler syndrome (ABS) phenotype. Cortisol deficiency is usually partial, with some baseline cortisol production but failure to mount an adequate cortisol response in stress. Mild mineralocorticoid excess can be present and causes arterial hypertension, usually presenting in young adulthood. Manifestations of altered sex steroid synthesis include ambiguous genitalia/DSD in both males and females, large ovarian cysts in females, poor masculinization and delayed puberty in males, and maternal virilization during pregnancy with an affected fetus. Skeletal malformations can manifest as craniosynostosis, mid-face retrusion with proptosis and choanal stenosis or atresia, low-set dysplastic ears with stenotic external auditory canals, hydrocephalus, radiohumeral synostosis, neonatal fractures, congenital bowing of the long bones, joint contractures, arachnodactyly, and clubfeet; other anomalies observed include urinary tract anomalies (renal pelvic dilatation, vesicoureteral reflux). Cognitive impairment is of minor concern and likely associated with the severity of malformations; studies of developmental outcomes are lacking.
Bardet-Biedl syndrome 1
MedGen UID:
422452
Concept ID:
C2936862
Disease or Syndrome
Bardet-Biedl syndrome is an autosomal recessive and genetically heterogeneous ciliopathy characterized by retinitis pigmentosa, obesity, kidney dysfunction, polydactyly, behavioral dysfunction, and hypogonadism (summary by Beales et al., 1999). Eight proteins implicated in the disorder assemble to form the BBSome, a stable complex involved in signaling receptor trafficking to and from cilia (summary by Scheidecker et al., 2014). Genetic Heterogeneity of Bardet-Biedl Syndrome BBS2 (615981) is caused by mutation in a gene on 16q13 (606151); BBS3 (600151), by mutation in the ARL6 gene on 3q11 (608845); BBS4 (615982), by mutation in a gene on 15q22 (600374); BBS5 (615983), by mutation in a gene on 2q31 (603650); BBS6 (605231), by mutation in the MKKS gene on 20p12 (604896); BBS7 (615984), by mutation in a gene on 4q27 (607590); BBS8 (615985), by mutation in the TTC8 gene on 14q32 (608132); BBS9 (615986), by mutation in a gene on 7p14 (607968); BBS10 (615987), by mutation in a gene on 12q21 (610148); BBS11 (615988), by mutation in the TRIM32 gene on 9q33 (602290); BBS12 (615989), by mutation in a gene on 4q27 (610683); BBS13 (615990), by mutation in the MKS1 gene (609883) on 17q23; BBS14 (615991), by mutation in the CEP290 gene (610142) on 12q21, BBS15 (615992), by mutation in the WDPCP gene (613580) on 2p15; BBS16 (615993), by mutation in the SDCCAG8 gene (613524) on 1q43; BBS17 (615994), by mutation in the LZTFL1 gene (606568) on 3p21; BBS18 (615995), by mutation in the BBIP1 gene (613605) on 10q25; BBS19 (615996), by mutation in the IFT27 gene (615870) on 22q12; BBS20 (619471), by mutation in the IFT172 gene (607386) on 9p21; BBS21 (617406), by mutation in the CFAP418 gene (614477) on 8q22; and BBS22 (617119), by mutation in the IFT74 gene (608040) on 9p21. The CCDC28B gene (610162) modifies the expression of BBS phenotypes in patients who have mutations in other genes. Mutations in MKS1, MKS3 (TMEM67; 609884), and C2ORF86 also modify the expression of BBS phenotypes in patients who have mutations in other genes. Although BBS had originally been thought to be a recessive disorder, Katsanis et al. (2001) demonstrated that clinical manifestation of some forms of Bardet-Biedl syndrome requires recessive mutations in 1 of the 6 loci plus an additional mutation in a second locus. While Katsanis et al. (2001) called this 'triallelic inheritance,' Burghes et al. (2001) suggested the term 'recessive inheritance with a modifier of penetrance.' Mykytyn et al. (2002) found no evidence of involvement of the common BBS1 mutation in triallelic inheritance. However, Fan et al. (2004) found heterozygosity in a mutation of the BBS3 gene (608845.0002) as an apparent modifier of the expression of homozygosity of the met390-to-arg mutation in the BBS1 gene (209901.0001). Allelic disorders include nonsyndromic forms of retinitis pigmentosa: RP51 (613464), caused by TTC8 mutation, and RP55 (613575), caused by ARL6 mutation.
Tetraamelia syndrome 1
MedGen UID:
860705
Concept ID:
C4012268
Disease or Syndrome
Tetraamelia syndrome-1 (TETAMS1) is characterized by complete limb agenesis without defects of scapulae or clavicles. Other features include bilateral cleft lip/palate, diaphragmatic defect with bilobar right lung, renal and adrenal agenesis, pelvic hypoplasia, and urogenital defects (Niemann et al., 2004). Genetic Heterogeneity of tetraamelia syndrome Tetraamelia syndrome-2 (TETAMS2; 618021) is caused by mutation in the RSPO2 gene (610575) on chromosome 8q23.
Lethal fetal cerebrorenogenitourinary agenesis/hypoplasia syndrome
MedGen UID:
864138
Concept ID:
C4015701
Disease or Syndrome
A rare genetic developmental defect during embryogenesis malformation syndrome with characteristics of intrauterine growth restriction, flexion arthrogryposis of all joints, severe microcephaly, renal cystic dysplasia/agenesis/hypoplasia and complex malformations of the brain (cerebral and cerebellar hypoplasia, vermis, corpus callosum and/or occipital lobe agenesis, with or without arhinencephaly), as well as of the genitourinary tract (ureteral agenesis/hypoplasia, uterine hypoplasia and/or vaginal atresia), leading to fetal demise.
Short-rib thoracic dysplasia 15 with polydactyly
MedGen UID:
934691
Concept ID:
C4310724
Disease or Syndrome
Short-rib thoracic dysplasia (SRTD) with or without polydactyly refers to a group of autosomal recessive skeletal ciliopathies that are characterized by a constricted thoracic cage, short ribs, shortened tubular bones, and a 'trident' appearance of the acetabular roof. SRTD encompasses Ellis-van Creveld syndrome (EVC) and the disorders previously designated as Jeune syndrome or asphyxiating thoracic dystrophy (ATD), short rib-polydactyly syndrome (SRPS), and Mainzer-Saldino syndrome (MZSDS). Polydactyly is variably present, and there is phenotypic overlap in the various forms of SRTDs, which differ by visceral malformation and metaphyseal appearance. Nonskeletal involvement can include cleft lip/palate as well as anomalies of major organs such as the brain, eye, heart, kidneys, liver, pancreas, intestines, and genitalia. Some forms of SRTD are lethal in the neonatal period due to respiratory insufficiency secondary to a severely restricted thoracic cage, whereas others are compatible with life (summary by Huber and Cormier-Daire, 2012 and Schmidts et al., 2013). There is phenotypic overlap with the cranioectodermal dysplasias (Sensenbrenner syndrome; see CED1, 218330). SRTD15 is characterized by narrow thorax, oral and cardiovascular anomalies, short long bones, and postaxial polydactyly, in addition to other congenital anomalies. Considerable variability in features and in severity has been reported, with some affected individuals succumbing shortly after birth and others living to adulthood, even within the same family. For a discussion of genetic heterogeneity of short-rib thoracic dysplasia with or without polydactyly, see SRTD1 (208500).
Fraser syndrome 1
MedGen UID:
1639061
Concept ID:
C4551480
Disease or Syndrome
Fraser syndrome is an autosomal recessive malformation disorder characterized by cryptophthalmos, syndactyly, and abnormalities of the respiratory and urogenital tract (summary by van Haelst et al., 2008). Genetic Heterogeneity of Fraser Syndrome Fraser syndrome-2 (FRASRS2) is caused by mutation in the FREM2 gene (608945) on chromosome 13q13, and Fraser syndrome-3 (FRASRS3; 617667) is caused by mutation in the GRIP1 gene (604597) on chromosome 12q14. See Bowen syndrome (211200) for a comparable but probably distinct syndrome of multiple congenital malformations.
Microcephaly 20, primary, autosomal recessive
MedGen UID:
1641618
Concept ID:
C4693572
Congenital Abnormality

Professional guidelines

PubMed

Hobzová Pavlína, Chubanovová Nikoleta, Nováčková Marta
Ceska Gynekol 2022;87(5):350-355. doi: 10.48095/cccg2022350. PMID: 36316217
Dietrich JE
J Pediatr Adolesc Gynecol 2022 Oct;35(5):536-540. Epub 2022 Apr 27 doi: 10.1016/j.jpag.2022.04.007. PMID: 35489471
Khanna K, Sharma S, Gupta DK
Pediatr Surg Int 2018 Mar;34(3):249-261. Epub 2017 Nov 24 doi: 10.1007/s00383-017-4218-9. PMID: 29177625

Recent clinical studies

Etiology

Hobzová Pavlína, Chubanovová Nikoleta, Nováčková Marta
Ceska Gynekol 2022;87(5):350-355. doi: 10.48095/cccg2022350. PMID: 36316217
Zhang M, Meng L, Du Y, Zhao J, Li Z, Liu S, Huang X
Pediatr Surg Int 2022 Apr;38(4):631-635. Epub 2022 Feb 9 doi: 10.1007/s00383-022-05078-2. PMID: 35138456
Bischoff A, Alaniz VI, Trecartin A, Peña A
Pediatr Surg Int 2019 Sep;35(9):963-966. Epub 2019 Jun 29 doi: 10.1007/s00383-019-04512-2. PMID: 31256298
Xu S, Zhang J, Wang S, Yang L, Qian J, Yue S, Zhu D, Yang L, Zhao L, Yang A, Li Y, Xue Q
Gynecol Endocrinol 2019 Sep;35(9):777-781. Epub 2019 Apr 13 doi: 10.1080/09513590.2019.1588875. PMID: 30982355
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J Pediatr Surg 2015 Mar;50(3):431-7. Epub 2014 Oct 1 doi: 10.1016/j.jpedsurg.2014.07.010. PMID: 25746703

Diagnosis

Hobzová Pavlína, Chubanovová Nikoleta, Nováčková Marta
Ceska Gynekol 2022;87(5):350-355. doi: 10.48095/cccg2022350. PMID: 36316217
Dietrich JE
J Pediatr Adolesc Gynecol 2022 Oct;35(5):536-540. Epub 2022 Apr 27 doi: 10.1016/j.jpag.2022.04.007. PMID: 35489471
Khanna K, Sharma S, Gupta DK
Pediatr Surg Int 2018 Mar;34(3):249-261. Epub 2017 Nov 24 doi: 10.1007/s00383-017-4218-9. PMID: 29177625
Skerritt C, Vilanova Sánchez A, Lane VA, Wood RJ, Hewitt GD, Breech LL, Levitt M
Eur J Pediatr Surg 2017 Dec;27(6):495-502. Epub 2016 Nov 15 doi: 10.1055/s-0036-1593610. PMID: 27846665
Dietrich JE, Millar DM, Quint EH
J Pediatr Adolesc Gynecol 2014 Dec;27(6):396-402. Epub 2014 Sep 11 doi: 10.1016/j.jpag.2014.09.001. PMID: 25438708

Therapy

Patel AD, D'Cruz R, Olson J, Lucas M, Baron CM, Novotny NM, Zamora IJ, Lovvorn HN 3rd
Am Surg 2022 Jul;88(7):1557-1560. Epub 2022 Apr 20 doi: 10.1177/00031348221083950. PMID: 35442816
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Int J Gynaecol Obstet 2016 Jun;133(3):320-4. Epub 2016 Mar 2 doi: 10.1016/j.ijgo.2015.11.015. PMID: 27087418
Mansouri R, Dietrich JE
J Pediatr Adolesc Gynecol 2015 Dec;28(6):433-6. Epub 2014 Dec 23 doi: 10.1016/j.jpag.2014.12.007. PMID: 26220349
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Prognosis

Zhang M, Zhang MX, Li GL, Xu CJ
J Huazhong Univ Sci Technolog Med Sci 2017 Dec;37(6):928-932. Epub 2017 Dec 21 doi: 10.1007/s11596-017-1829-2. PMID: 29270755
Mansouri R, Dietrich JE
J Pediatr Adolesc Gynecol 2015 Dec;28(6):433-6. Epub 2014 Dec 23 doi: 10.1016/j.jpag.2014.12.007. PMID: 26220349
Kisku S, Barla RK, Sen S, Karl S, Mathai J, Varghese L
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Clinical prediction guides

Kang J, Chen N, Zhang Y, Ma C, Ma Y, Wang Y, Tian W, Zhu L
J Minim Invasive Gynecol 2021 Jun;28(6):1203-1210. Epub 2020 Dec 14 doi: 10.1016/j.jmig.2020.12.011. PMID: 33321256
Zhang Y, Chen Y, Hua K
Int J Med Robot 2017 Sep;13(3) Epub 2017 Mar 29 doi: 10.1002/rcs.1821. PMID: 28371283Free PMC Article
Pandya KA, Koga H, Okawada M, Coran AG, Yamataka A, Teitelbaum DH
J Pediatr Surg 2015 Mar;50(3):431-7. Epub 2014 Oct 1 doi: 10.1016/j.jpedsurg.2014.07.010. PMID: 25746703
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Recent systematic reviews

Fedele F, Parazzini F, Vercellini P, Bergamini V, Fedele L
Arch Gynecol Obstet 2023 Sep;308(3):685-700. Epub 2022 Oct 28 doi: 10.1007/s00404-022-06825-5. PMID: 36305896
Jóźwik M, Jóźwik M, Zaręba K, Semczuk A, Modzelewska B, Jóźwik M
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Acién P, Acién M
Hum Reprod Update 2016 Jan-Feb;22(1):48-69. Epub 2015 Nov 3 doi: 10.1093/humupd/dmv048. PMID: 26537987
Dietrich JE, Millar DM, Quint EH
J Pediatr Adolesc Gynecol 2014 Dec;27(6):396-402. Epub 2014 Sep 11 doi: 10.1016/j.jpag.2014.09.001. PMID: 25438708

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