Abstract Adolescents have suffered from disorders of the genital tract since human race began. Malformations may affect the genital tract alone or in association with urinary tract or intestinal tract Anomaly. Formation of haematocolpos and or haematometra due to the obstruction to the outflow tract is also known as cryptomenorrhea. In presence of normal uterus,this could occur mainly due to imperforate hymen,transverse vaginal septum,absent vagina.Obstructive lesions of the genital tract in adolescent femalemay present as acute abdomen. The issues of congenital malformations of genital tract are complex pschycologically and gynaecologically. Patient should be treated in multidisciplinary, holistic manners. Knowledge of the clinical presentation and Management of these cases is extremely important.
Keywords: Obstructive Lesions; Imperforate Hymen; Transeverse Vaginal Septum; Acute Abdomen.