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. 2014:2014:108973.
doi: 10.1155/2014/108973. Epub 2014 May 7.

Intrapartum diagnosis and treatment of longitudinal vaginal septum

Antonio Henriques de França Neto  1 , Bianca Virgolino Nóbrega  2 , Jessé Clementino Filho  2 , Tiago Cavalcanti do Ó  3 , Melania Maria Ramos de Amorim  2
Affiliations

Intrapartum diagnosis and treatment of longitudinal vaginal septum

Antonio Henriques de França Neto et al. Case Rep Obstet Gynecol. 2014.

Abstract

Longitudinal vaginal septum is a rare Müllerian malformation that may be associated with dyspareunia, dysmenorrhea, primary amenorrhea, and infertility. In this report, the authors present a case of longitudinal vaginal septum in a 15-year-old patient with a full-term pregnancy whose diagnosis was only made during labor following bidigital vaginal and speculum examination. Septoplasty was performed during the second stage of labor. Both mother and child progressed satisfactorily and were discharged from hospital in good health. Six months later, ultrasonography, hysterosalpingography, and hysteroscopy were carried out and no other associated abnormality was found.

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Figures

Figure 1
Figure 1
Longitudinal vaginal septum detected during delivery.
Figure 2
Figure 2
Anesthetic injection into the septum.
Figure 3
Figure 3
Intrapartum resection of the septum performed using scissors.
Figure 4
Figure 4
Delivery following resection of the septum. Note the anterior extremity of the septum is still clamped (sutures performed following delivery).
See this image and copyright information in PMC

References

    1. Laufer MR. Diagnosis and management of congenital anomalies of the vagina. UpToDate, 2013, http://www.uptodate.com/contents/diagnosis-and-management-of-congenital-....
    1. Buttram VC, Jr., Gomel V, Siegler A, DeCherney A, Gibbons W, March C. The American Fertility Society classifications of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, Mullerian anomalies and intrauterine adhesions. Fertility and Sterility. 1988;49(6):944–955. - PubMed
    1. Brown SJ, Badawy SZ. A rare müllerian duct anomaly not included in the classification system by the American Society for Reproductive Medicine. Case Reports in Obstetrics and Gynecology. 2013;2013:3 pages.569480 - PMC - PubMed
    1. Martins M, Viana LC, Geber S. Malformações genitais. Bibliomed, 2001, http://www.bibliomed.com.br/bibliomed/bmbooks/ginecolo/livro8/cap/cap52.htm.
    1. Pavone ME, King JA, Vlahos N. Septate uterus with cervical duplication and a longitudinal vaginal septum: a müllerian anomaly without a classification. Fertility and Sterility. 2006;85(2):494.e9–494.e10. - PubMed

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