Korean J Obstet Gynecol.  2012 May;55(5):353-357. 10.5468/KJOG.2012.55.5.353.

Microperforated transverse vaginal septum: A case report

• Lim EJ
• Lee DH
• Choi WK
• Kim JH
• Rheu CH
• Chae HS

• KMID: 2078154
• DOI: http://doi.org/10.5468/KJOG.2012.55.5.353

Abstract

Transverse vaginal septum is a rare congenital anomaly of the vagina. A case of microperforated transverse vaginal septum in the upper third of the vagina and its management are presented. By the help of diagnostic tools, including saline infusion sonohysterography, magnetic resonance imaging hysteroscopy, laparoscopy, the precise location of septum was identifi ed. Simple septectomy through vaginal route was performed. We report the excision of transverse vaginal septum in a 23-year-old unmarried female, presented with severe dysmenorrhea, was followed by a return of normal menstruation.

Keyword

Transverse vaginal septum; Saline infusion sonohysterography; Septectomy

MeSH Terms

Dysmenorrhea
Female
Humans
Hysteroscopy
Laparoscopy
Magnetic Resonance Imaging
Menstruation
Single Person
Vagina
Young Adult

Figure

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  Fig. 1 Microperforated transverse vaginal septum.

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  Fig. 2 Saline infusion sonohysterography showing site of transverse vaginal septum (arrow).

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  Fig. 3 Sagittal (A) and axial (B) T2-weighted magnetic resonance image show vaginal septum as low signal intensity stripe (arrow).

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  Fig. 4 Vaginal view after surgical intervention.

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  Fig. 5 Histopathologically, the fibrous-tissue septum containing abundant blood vessels, small bundle of smooth muscle and nerve. The septum was covered with stratified squamous epithelium (H&E, ×100).

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