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Title: BLIND VAGINA , A RARE CASE REPORT ON TRANSVERSE VAGINAL SEPTUM DIAGNOSED INCIDENTALLY
e-poster Number: EP 218
Category: Sexual and Reproductive Health and Rights and Contraception
Author Name: Dr. Niharika R
Institute: RAJARAJESHWARI MEDICAL COLLEGE AND HOSPITAL
Co-Author Name:
Abstract :
Transverse vaginal septum a rare developmental disorder of vagina leading to genital outflow tract obstruction. It Results from incomplete recanalization between vaginal components of M?llerian duct and urogenital sinus , a disorder of transverse fusion . Timely diagnosis and institution of appropriate management is essential for prevention of short term and long term complications of Transverse vaginal septum. Here is a case of 21 year old female patient with history of spontaneous abortion who came to hospital for further management. On examination , patient was found to have a blind vagina later diagnosed as transverse vaginal septum with a pinhole opening . Septal resection was done under spinal anesthesia . Post operatively approximately 6 cm vaginal canal length was created . SURGERY ? Successful transverse vaginal septal resection followed by which approximately 6 cm vaginal canal length was appreciated. CONCLUSION - Transverse vaginal septum is a rare congenital anomaly, leading to uterovaginal outflow tract obstruction. Often, the anomaly is undetected until adolescence, when primary amenorrhea or cyclic, pelvic pain and a suprapubic tender mass prompt a diagnostic evaluation. Ultrasound aids in localization and characterization of the lesion while MRI helps in confirming the vaginal septum including its thickness and relation to the adjacent structures. Timely diagnosis and institution of appropriate management is essential for prevention of short term and long term complications e.g. dysmenorrhoea,dyspaerunia, pyometra ,endometriosis and infertility.