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Case Reports
. 2014 Jan;57(1):70-2.
doi: 10.5468/ogs.2014.57.1.70. Epub 2014 Jan 16.

Vaginal adhesions in a woman with the history of dystocia

Hyun Mi Kim  1 , Jin Young Bae  1 , Yoo Jin Cho  1 , Mi Ju Kim  1 , Hyun-Hwa Cha  1 , Won Joon Seong  1
Affiliations
Case Reports

Vaginal adhesions in a woman with the history of dystocia

Hyun Mi Kim et al. Obstet Gynecol Sci. 2014 Jan.

Erratum in

  • Obstet Gynecol Sci. 2014 Mar;57(2):180. Cha, Hyun Wha [corrected to Cha, Hyun-Hwa]

Abstract

Postpartum genital tract adhesions are unusual, and their cause has not been evaluated. However, severe dystocia and numerous pelvic examinations have been suggested as possible causes. Here, we report a case of vaginal adhesions following a difficult labor that presented as dyspareunia for 5 months. Pelvic examination and ultrasonography revealed a transverse vaginal septum that obstructed the vaginal cavity, and fluid collection proximal to this septum. The patient was successfully treated with surgical resection and administration of antibiotics.

Keywords: Dystocia; Postpartum; Tissue adhesions; Vagina.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
(A) Speculum examination revealed a blind-ending vaginal cavity with a thick wall. (B) Transvaginal ultrasonography revealed a 3.42×1.44 cm fluid-filled cavity 0.94 cm beyond the thick septum.
Fig. 2
Fig. 2
The septal wall was excised, a window was made, and the remnant edge was sutured to the vaginal sidewall in all directions using interrupted 2-0 Vicryl suture.
See this image and copyright information in PMC

References

    1. Sharma B, Arora R, Preston J. Postpartum labial adhesions following normal vaginal delivery. J Obstet Gynaecol. 2005;25:215. - PubMed
    1. Seehusen DA, Earwood JS. Postpartum labial adhesions. J Am Board Fam Med. 2007;20:408–410. - PubMed
    1. Shaver D, Ling F, Muram D. Labial adhesions in a postpartum patient. Obstet Gynecol. 1986;68:24S–25S. - PubMed
    1. Arkin AE, Chern-Hughes B. Case report: labial fusion postpartum and clinical management of labial lacerations. J Midwifery Womens Health. 2002;47:290–292. - PubMed
    1. Cozens ER. Pyometra and complete vaginal adhesion in a miniature horse. Can Vet J. 2009;50:971–972. - PMC - PubMed

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