Obstet Gynecol Sci.  2014 Jan;57(1):70-72.

Vaginal adhesions in a woman with the history of dystocia

• Kim HM
• Bae JY
• Cho YJ
• Kim MJ
• Cha HW
• Seong WJ

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.

Keyword

Dystocia; Postpartum; Tissue adhesions; Vagina

MeSH Terms

Anti-Bacterial Agents
Dyspareunia
Dystocia*
Female
Gynecological Examination
Humans
Postpartum Period
Pregnancy
Tissue Adhesions
Ultrasonography
Vagina
Anti-Bacterial Agents

Figure

• 

  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 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.

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