Journal List > Korean J Obstet Gynecol > v.55(5) > 1088451

This article has been corrected. See "Erratum" in Volume 55 on page 445.
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Lim, Lee, Choi, Kim, Rheu, and Chae: Microperforated transverse vaginal septum: A case report
Case Report
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2012; 55(5): 353-357.

Published online: 16 May 2012

DOI: https://doi.org/10.5468/KJOG.2012.55.5.353

Microperforated transverse vaginal septum: A case report

Eun Ji Lim, MD, Dong Hyun Lee, MD, Won Ku Choi, MD, Jong Hyeon Kim, MD, PhD, Churl Hee Rheu, MD, PhD, Hee Suk Chae, MD

Department of Obstetrics and Gynecology, Chonbuk National University Medical School, Jeonju, Korea.

Corresponding author: Hee Suk Chae, MD. Department of Obstetrics and Gynecology, Chonbuk National University Medical School, 20 Geonji-ro, Deokjin-gu, Jeonju 561-712, Korea. Tel: +82-63-250-1360, Fax: +82-63-254-4833, binnayokr@jbnu.ac.kr

Received 27 December 2011       Accepted 21 March 2012

Copyright © 2012. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Transverse vaginal septum, Saline infusion sonohysterography, Septectomy

Figures and Tables

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).
kjog-55-353-g005

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