Intriguing case of transverse vaginal septum: unusual presentation and diagnostic insights

Nisha; Manasi Deoghare; Ashita Aggarwal; J. B. Sharma; Rajesh Kumari

doi:10.18203/2320-1770.ijrcog20243211

Authors

Nisha Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, Delhi, India
Manasi Deoghare Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, Delhi, India
Ashita Aggarwal Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, Delhi, India
J. B. Sharma Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, Delhi, India
Rajesh Kumari Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, Delhi, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20243211

Keywords:

Transverse vaginal septum, Microperforated, Amenorrhorea, Infertility, Dysmenorrhoea

Abstract

The transverse vaginal septum is a type of Mullerian duct anomaly that occurs due to incomplete fusion or re-canalization of the vaginal and Mullerian structures. Typically, this condition presents as primary amenorrhoea along with cyclical abdominal pain, although it can also manifest as dyspareunia and infertility. Our 24-year-old female patient exhibited symptoms of menstruation upon manual expression, dyspareunia, and infertility. Following the excision of the septum, the patient resumed regular menstrual cycle and is currently 5 months pregnant. This case report focuses on unusual presentation of transverse vaginal septum (TVS) and also signifies how important is to take proper history and clinical examination.

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