Vaginal delivery in case of an undiagnosed isolated longitudinal vaginal septum: a case report
Keywords:Mullerian anomaly, Pregnancy, Vaginal septum, Vaginal delivery, Case report
Isolated longitudinal vaginal septum is a rare Mullerian malformation that may be associated with dyspareunia, dysmenorrhea, primary amenorrhea and infertility. In this case report, the author presents a case of longitudinal vaginal septum in a 20 years old patient with full-term pregnancy whose diagnosis was only made during second stage of labor following vaginal examination. During delivery of baby the septum got lacerated anteroposterioly in the middle and it was resected after the delivery with subsequent suturing. Both mother and child progressed satisfactorily and were discharged from hospital in good health.
Acien P. Incidence of Müllerian defects in fertile and infertile women. Human Reproduction. 1997;12(7):1372-6.
Pavone ME, King JA, Vlahos N. Septate uterus with cervical duplication and a longitudinal vaginal septum: a müllerian anomaly without a classification. Fertil Steril. 2006;85(2):494-e9.
Brown SJ, Badawy SZA. A rare mullerian duct anomaly not included in the classification system by the american society for reproductive medicine. Case Rep Obstet Gynecol. 2013;2013:569480.
Dunn R, Hantes J. Double cervix and vagina with a normal uterus and blind cervical pouch: a rare müllerian anomaly. Fertil Steril. 2004;82(2):458-9.
Buttram VC, 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. Fertil Steril. 1988:49(6):944-55.
Barick A, Jayi S, Alaoui FZ, Elhaoudani J, Chaara H, Melhouf MA. Vaginal delivery in case of isolated longitudinal vaginal septum: an uncommon situation: a case report. PAMJ Clin Med. 2021;5(25).
Kumar N, Tayade S. An undiagnosed case of longitudinal vaginal septum in a term woman with obstructed labour: a case report. Int J Reproduct Contracept Obstetr Gynecol. 2014;3(3):754-7.